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Such widespread usage has led to a severe and prolonged international shortage of these drugs 13,14 , with consequent lack of access to treatment for patients with diabetes 15 and the urgent need to issue guidelines for alternative treatments 16
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Furthermore, patients may feel more empowered and inspired to stick with long-term behavioral changes if they have early success quitting smoking and maintaining their weight

2018;7:e009379

47,425 exenatide users (31,495 person-years)
