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An excellent example is the pain medication ziconotide, a synthetic form of a peptide found in the venom of the marine cone snail

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[31] and Yang et al

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In practice, that supervision typically includes: full medical history review baseline metabolic laboratory testing contraindication screening ongoing follow-up and dose monitoring When dose adjustments occur without this type of monitoring, the process is no longer calibration

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8 Generally, these side-effects are self-limited, occur more commonly shortly after drug initiation or during dose escalation periods, and lessen after a few weeks of GLP-1 RA administration

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