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Contact your healthcare provider immediately for significantly increased urination with excessive thirst (possible hyperglycemia), decreased urine output, dark or concentrated urine suggesting dehydration, painful urination, blood in urine, or persistent foamy urine

Mao D, Cao H, Shi M, Wang CC, Kwong J, Li JJX et al (2021) Increased co-expression of PSMA2 and GLP-1 receptor in cervical cancer models in type 2 diabetes attenuated by exendin-4: a translational case-control study

Once the seal is broken, chain-of-custody and sterility cannot be verified