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Like insulin and other peptides, they typically had to be injected

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Baseline hormonal testing before starting DSIP may be advisable

[Ref] Cardiovascular Very common (10% or more): Increased heart rate Common (1% to 10%): Hypotension Uncommon (0.1% to 1%): Orthostatic hypotension Increased heart rate was reported with a mean increase of 1 to 4 beats per minute (bpm) across trials, with maximum changes of 10 to 19 bpm in up to 41% of treated adult patients vs 34% placebo, and 20 bpm or more in up to 26% vs 16% placebo