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Many thanks also go to Bernard Thorens, Richard DiMarchi, Lotte Knudsen, John Eng, Jean-Pierre Raufman, Richard Goodman, Catherine rskov, Matthias Tschp, Daniel Drucker, Jesper Lau and Fred Cowan for their comments on various sections and providing permission to use their photos

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Background Incretins are gut-derived peptide hormones secreted after nutrient intake to enhance glucose-dependent insulin release from pancreatic -cells

Despite negotiated price reductions announced in November that the White House said would make the drugs available at a dramatically lower cost to taxpayers and enable Medicaid to cover them, states are going ahead with the cuts, which providers say may undermine patients health