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Once mixed, the solution is stable at 28C for 28 days, but every needle puncture introduces contamination risk, so using a vial within 21 days and minimizing punctures (one draw per dose, never re-injecting air) extends usable life

Fundamentally, GLP-1RAs work by stimulating insulin secretion and inhibiting glucagon secretion in a glucose-dependent manner [9], which explains their associated low risk of hypoglycaemia

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