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Endocr Pract 22 , 12771287, (2016)

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Some settling of powder may occur during shipping and handling, which may affect density of powder

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Primarily available through small-group employer plans in 2026

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Some less common effects that may appear during this phase include increased heart rate (a known class effect of GLP-1 receptor agonists), skin hyperesthesia in rare cases, and temporary elevations in liver enzymes (alanine aminotransferase)

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After commencement of pharmacotherapy, regularl assessment of weight, cardiometabolic risk factors and treatment tolerability should be undertaken

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