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Acylated liraglutide adheres to albumin and self-associates after subcutaneous injection
(2013) 145:32938.e1

Additional safety concerns include hypoglycemia risk when used with insulin or insulin secretagogues, potential acute kidney injury with dehydration, and with semaglutide, worsening of diabetic retinopathy in patients with pre-existing retinopathy
Dietary polysaccharide from Enteromorpha Clathrata modulates gut microbiota and promotes the growth of Akkermansia muciniphila , Bifidobacterium spp

Exenatide was well tolerated in patients and rates of hypoglycemia were relative low in these studies

Diabetes 56(5):14751480 Vella A, Bock G, Giesler PD, Burton DB, Serra DB, Saylan ML et al (2008) The effect of dipeptidyl peptidase-4 inhibition on gastric volume, satiation and enteroendocrine secretion in type 2 diabetes: a double-blind, placebo-controlled crossover study