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Glucagon-like peptide-1 (7-36) amide prevents the accumulation of pyruvate and lactate in the ischemic and non-ischemic porcine myocardium
If more than 4 days have passed, skip the missed dose and resume your regular weekly schedule to avoid excessive drug accumulation
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That is one reason longer phase 3 trials drew so much interest, since the ceiling had not announced itself yet

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