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Once opened, the powder should be used immediately or transferred to a sealed, light-protected container

Erythema and depapillation of the tongue were the most common findings, however less common among patients without a history of gastrectomy

They were disappointed by a non-significant 0.5% reduction in A1c among patients taking the drug, compared to a 0.3% reduction in the placebo group, all of whom had poorly controlled A1c levels above 8%

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Management includes addressing underlying causes, lifestyle changes, and counseling