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Exendin-(9-39) is a truncated form of exendin-4, a GLP-1 receptor agonist, isolated from the saliva of the gila monster

Basic laboratory evaluation is appropriate for patients with persistent or severe fatigue and should include complete blood count, comprehensive metabolic panel, thyroid-stimulating hormone, ferritin/iron studies, and vitamin B12 and vitamin D levels

doi: 10.1016/S0013-7006(14)70129-0

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Eligibility depends on medical history, BMI, and contraindications - a licensed clinician determines whether treatment is appropriate based on individual evaluation