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Exendin-4 is a high potency agonist and truncated exendin-(939)-amide an antagonist at the glucagon-like peptide 1-(736)-amide receptor of insulin-secreting beta-cells

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At the 12mg dose, participants lost an average of 26 kg (approximately 57 pounds) over 48 weeks

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The real story is in the escalation, or titration, protocol

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It's effective, with studies showing significant weight loss when combined with lifestyle changes like diet and exercise

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If you're traveling internationally or to a remote area where rapid delivery isn't possible, contact a local healthcare provider or urgent care clinic to discuss temporary alternatives or dose extensions

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