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Note that Bydureon is not recommended as first-line therapy for patients who have inadequate glycemic control on diet and exercise because of the uncertain relevance of the rat thyroid C-cell tumor findings to humans (Drugs.com)

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[3] For patients requiring active glucose management, insulin remains the most flexible and titratable option

Various impurities may be present in peptides, including missing or incorrectly inserted amino acids, incorrectly folded peptides, impurities due to oxidation or hydrolysis, isomers, or leftover reagents [1]