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Switching to the gum option solved that problem entirely

Response rates tell an equally compelling story

Efficacy and safety of exenatide once weekly versus sitagliptin or pioglitazone as an adjunct to metformin for treatment of type 2 diabetes (DURATION-2): a randomised trial

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Oral vs Injectable Route: Oral BPC-157 passes directly through your digestive system, so you'd expect more GI effects, and research confirms this pattern