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Biochem Biophys Res Commun 291:13021308 Goldstein BJ, Feinglos MN, Lunceford JK, Johnson J, Williams-Herman DE, Sitagliptin 036 Study Group (2007) Effect of initial combination therapy with sitagliptin, a dipeptidyl peptidase-4 inhibitor, and metformin on glycemic control in patients with type 2 diabetes

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Semaglutide, like other peptide-based medications, undergoes gradual degradation over time, particularly when exposed to suboptimal storage conditions

Its not complicated once you know where to look but it does require going beyond the plans marketing materials and digging into the actual formulary documents

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