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Smaller employers, especially those on fully insured plans, have less flexibility and are more cautious due to cost concerns

Diabetes Care (2016) 39(6):88492.10.2337/dc16-0351 140 ThazhathSSMaratheCSWuTChangJKhooJKuoPet alThe glucagon-like peptide 1 receptor agonist exenatide inhibits small intestinal motility, flow, transit, and absorption of glucose in healthy subjects and patients with type 2 diabetes: a randomized controlled trial

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The SURMOUNT-1 trial specifically noted that GI adverse events were the most common reason for treatment discontinuation at higher doses

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