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Furthermore, studies using a peripherally administered exenatide analogue conjugated to vitamin B12, which is sterically hindered from accessing regions protected by the blood brain barrier, improves glucose control in comparable fashion to unmodified exenatide, presumably at the level of the -cell, but does not induce emesis in the house musk shrew ( Suncus murinus) or rats (78, 79)

Military Medicine, 180(7), 754765

Yes, side effects like nausea and gastrointestinal (GI) symptoms may be possible

Some doctors lack familiarity with compounded formulations or hold outdated views about weight loss medications stemming from earlier-generation drugs with poor tolerability profiles