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In one trial, women randomized to receive either Exenatide or Metformin, followed by Metformin alone, achieved a natural pregnancy rate over twice as high in the exenatide group compared to the metformin group (43.60% vs 18.70%) (108)

Storage guide: How long do lyophilized peptides last

Milder TY, Stocker SL, Abdel Shaheed C et al (2019) Combination therapy with an SGLT2 inhibitor as initial treatment for type 2 diabetes: a systematic review and meta-analysis

The body can make countless types of peptides by stringing together different amino acids