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Bacterial contamination accelerates peptide degradation and could theoretically cause infection, though the sublingual vehicle itself often contains antimicrobial properties
That the others have to then try and replace that, and then more and more people buy into that first hypothesis and believe it, and they base their treatments on it, and they write papers and textbooks about it
Crucially, the glucose-dependent nature of Rybelsus is significant when considering hypoglycaemia risk
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