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doi: 10.1016/j.vetimm.2008.02.009 40 ReisM

However, some individuals may experience local irritation at the injection site, mild gastrointestinal disturbances, or, rarely, allergic reactions

Hepatology 54 , 463471

Most states require you to have tried metformin for at least 60 days without good results, or have a reason you can't take metformin, or have established cardiovascular disease, or need combination therapy with an A1C of 7.5 percent or higher