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Because these medications influence multiple metabolic pathways, thoughtful preparation helps ensure that your experience is comfortable, your dosing is safe, and your treatment plan is aligned with your goals

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Note: animal studies indicate that high doses of DPP-4 inhibitors & GLP-1 agonists cause expansion of cells of the pancreatic ductal glands and can cause premalignant pancreatic intraepithelial lesions (PanIN) that have the potential to progress to pancreatic adenocarcinoma

At present, a large-scale phase III RCT of 2-year exenatide treatment in patients with PD, defined as a Hoen and Yahr (H&Y) stage of 2.5, is ongoing