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Even though there are signs of strong growth, there are a number of things that could slow down or limit adoption: 1

Eighty-six subjects received either exenatide 10 mcg subcutaneous twice daily or sitagliptin 100 mg orally daily for 4 weeks each

doi: 10.1038/nchembio.2238 21 KimJHLewinTMColemanRA

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Rather than stopping entirely, you reduce to a lower maintenance dose that preserves the appetite-suppressing and metabolic benefits while minimizing side effects and cost