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Fasting glucose levels consistently below 70 mg/dL, or symptoms like shakiness, confusion, and sweating, should prompt a blood glucose check and medication adjustment discussion

The pharmacology is solid

Dosage and Administration Errors The lack of standardization means there is a much-needed margin of error for dosages, so with this newfound freedom comes the increased possibility of contamination

Samuel SM, Varghese E, Kubatka P, Bsselberg D

Exendin-4 has been shown to reduce advanced glycation end product (AGE)-induced interleukin (IL)-6 and TNF- production, the expression of receptor for AGE (RAGE), and cell death in mesangial cells (Wang et al., 2014)