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The presence of multiple smaller peaks indicates impurities, which could be truncated sequences, non-target modifications from synthesis, or residual reagents

It therefore requires a counterion when supplied as a neutral solid salt

Knowler WC, Barrett-Connor E, Fowler SE, et al

The interview schedule was developed through discussion with healthcare professionals including a clinician working in a tier 3 obesity service, a diabetes physician, and a psychiatrist specialising in diabetes and mental health, as well as a member of the public with lived experience of taking a GLP-1 receptor agonist (see supplementary material p3)

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Methodology A literature review of PubMed and Google Scholar was performed to obtain available evidence on the efficacy and safety of oral semaglutide and its recommendations