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Potential for Contamination : Compounders do not always follow strict quality control measures as large pharmaceutical companies
It is a recombinant form of the peptide exendin-4, which is a GLP-1 receptor agonist with a 53% similarity to the gastrointestinal hormone GLP-1 and it is resistant to DPP-4 inactivation with a 140-minute half-life after subcutaneous administration allowing therapy by a twice daily administration [36]
However, some Middle Eastern countries and parts of Southeast Asia have stricter controlled substance regulations that may apply to certain peptide medications
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