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Sirmirelin is a synthetic compound

The benefit is obvious: smaller injection volumes mean less liquid under the skin, which can reduce injection site reactions and discomfort

But vegans and others with metabolic disorders may not be able to either obtain or produce enough

These are classic signs of xerostomia

This is particularly true for patients who were started on insulin early in their disease course when their beta cells still had significant function, gained weight on insulin therapy, have A1C levels that might respond to GLP-1-mediated insulin secretion, or want the cardiovascular and weight loss benefits that GLP-1 medications offer

But it is gonna require thinking unorthodox