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In contrast, short-acting formulations such as exenatide and the older-generation agent lixisenatide are now prescribed far less frequently, and several formulations have been withdrawn from the market in certain countries, largely due to limited clinical uptake, the availability of more effective long-acting alternatives, and commercial considerations rather than confirmed safety concerns

If you go the telehealth route, make sure the platform requires lab work (at minimum A1C and metabolic panel) before prescribing, and that the prescriber is licensed in your state

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