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The BUD is almost always much shorter than a manufacturer expiration date, typically 30 to 90 days for compounded GLP-1 medications

To create the modified GLP-1, the enzyme-sensitive Ala at position 8 and Lys at positions 26 and 34 were substituted by Gly, Gln, and Asp, respectively

The starting dose of lixisenatide is 10 ug subcutaneously once daily within one hour before the first meal of the day for 14 days and then increase the dose to the maintenance dose of 20 ug once daily