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Short-acting GLP-1 receptor agonists like exenatide immediate-release (Byetta) and lixisenatide (Lyxumia) are specifically timed before meals
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These include potential muscle loss if protein intake is inadequate, possible hair thinning several months into treatment (usually temporary), and bone density changes with rapid weight loss
In any of these cases, the safest course is to discard the vial and start fresh
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