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Vigorous shaking can damage the delicate peptide chains through mechanical stress, a process called shearing

drug interactions [1] Phenobarbital is an inducer of CYP 2B6, 3A4, 2C9, and 2C19, which may lead to inadequate levels of medications metabolized by these pathways

It belongs to a class of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists

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