For cardiovascular protection: Both are proven
Brand Exenatide is not on the formulary but can be accessed through the NF exceptions pathway: criteria same as above + trial and failure with three preferred products (Ozempic, Rybelsus, Trulicity, Byetta, Bydureon, or Mounjaro)
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Clinical Trial Activity References Quality & Purity This product is synthesized via solid-phase peptide synthesis (SPPS) and tested to 99% purity by HPLC with identity confirmed by mass spectrometry
Your GP can discuss these options if lifestyle and dietary measures prove insufficient
Instead of viewing semaglutide as a replacement, it may be perceived as an adjunctive (add-on) for other treatments that reduce blood pressure