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The concentration you end up with depends entirely on how much water you add

There is biological plausibility for pancreatic complications due to the supraphysiological stimulation of the pancreas, leading to hyperplasia

It is important to recognize that the cardiovascular and renal benefits of GLP-1 medications typically outweigh the potential for retinopathy progression in appropriately selected patients, and discontinuing these medications due to unfounded concerns about vision may result in worse overall health outcomes

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Oral Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes (PIONEER 6 / SUSTAIN-6 context)