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GLP-1(3236)amide, a novel pentapeptide cleavage product of GLP-1, modulates whole body glucose metabolism in dogs

This can feel like a step backward even when the GLP-1 dosing is adequate

If bleeding has been frequent or prolonged, checking for iron deficiency anaemia (with blood tests for full blood count and ferritin) may be appropriate, with iron supplementation if indicated

Many patients prefer room temperature storage as it makes injections more comfortable, but either method is acceptable provided the pen is discarded after 6 weeks from first use