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For lyophilized powder that arrived at room temperature but the seal is intact and the powder looks normal, refrigerate or freeze immediately

Exenatide (including extended-release formulations) Therapeutic Benefits 1

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Kiely ME, Wagner CL, Roth DE

It reduced antibiotic resistance and directly reduces the viability of certain bacteria (101, 113, 115)

28,29 Similarly, methylation or mutation of rRNA can confer resistance to macrolides, lincosamides, or tetracyclines