These medications are biologic therapies containing protein-based molecules that can degrade when exposed to inappropriate temperatures
Interestingly, His1-Gly2 of exendin-4 exhibited weaker density relative to the rest of the peptide in the cryo-EM map, and this is consistent with the enhanced flexibility observed for this region of the bound peptide in the simulations, likely due to Gly2, as glycine can destabilise -helical conformations
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However, prolonged exposure to heat such as leaving medication in a hot car or direct sun may reduce its effectiveness
Its not caused by the medication itself, but by rapid fat loss in the midface, jawline, and temples
According to the trial data, the dose range of 10mg to 600mg for HDM1002 offered good safety and tolerability