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The peptide itself survives for about two of those minutes before an enzyme called dipeptidyl peptidase-4 (DPP-4) chews it apart

3 Recommended Storage Conditions for Saxenda 3 Before First Use After First Use Refrigerated (36 F 46 F) Room Temperature (59 F 86 F) Refrigerated (36 F 46 F) Until expiration date 30 days 30 days Victoza can be used as long as the product has not been exposed to temperatures below 36 F or above 86 F

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He had been taking metformin for several years without any of the usual metformin-related side-effects (e.g., diarrhoea, nausea, abdominal discomfort, indigestion, flatulence) [9]