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Though these usually improve with gradual dose increases and basic care: Nausea Vomiting Diarrhea Constipation The class label also carries a warning for pancreatitis and a boxed warning for thyroid C-cell tumors

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Careful monitoring is recommended for patients with a history of pancreatitis, severe gastrointestinal disease, or diabetic retinopathy

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Although they hadnt been thinking about real-world uses for exendin-4, Eng quickly saw what this close alignment might mean