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If bullous pemphigoid is suspected, discontinue JANUMET

Its a different molecule with a different manufacturing supply chain, and its patents wont expire until 2031+ either

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They are produced from the same proglucagon precursor and are co-secreted by intestinal L-cells, but their downstream effects, drug-development trajectories, and FDA-approval status are very different

The protocol consisted of using photodynamic therapy (PDT, via intense pulsed light at 400720 nm, administered in four sessions spaced two weeks apart), combined with a cream containing L-carnitine, licochalcone A, and decanediol, applied twice daily for 10 weeks