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Patients are usually started on a lower dose and gradually titrated up to help reduce side effects

Diabetes Metab Syndr Obes 16(January):575595 Athauda D, Maclagan K, Budnik N, Zampedri L, Hibbert S, Aviles-Olmos I et al (2019) Post hoc analysis of the Exenatide-PD trialFactors that predict response

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[62] [63] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting non-toxic cyanocobalamin is excreted in urine