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Different formulation MR tablets use a hydroxypropylmethylcellulose coating

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The foam itself is not harmful, but it means peptide molecules are trapped at the air-liquid interface, which is a suboptimal state

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Endogenous glucagon-like peptide-1 (GLP-1) is a 30-amino acid peptide hormone synthesized by intestinal L cells in response to nutrient intake, as well as in the nucleus tractus solitarius of the medulla oblongata [12, 13]