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The authors note the relevance of this study: "Compared to other studies, the patients in our study had relatively good glycemic control at the beginning of the trial and maintained good control during the entire follow-up period, whereas in most other studies glycemic control was poor at the baseline and improved to suboptimal level during the course of the study

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Outsourcing facilities can also compound drugs in bulk if theres a shortage or a clinical need. The FDA inspects those facilities according to what it calls a risk-based schedule. But its not the same level of oversight that an FDA-approved drug has, says Coukell