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The fix: inject a small amount of air (0.3-0.5 mL) into the vial first before drawing water into the syringe

### Step 6: Dissolve No Shaking Set the vial on the counter and wait 12 minutes

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The GLP-1 analog cohort included patients who received GLP-1 analogs after the diagnosis of RA and T2DM, and patients who received DPP4i were excluded from this group

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