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The l form is more widely occurring in nature, but the d form occurs in some special contexts, such as the bacterial capsule and cell walls of the bacteria (which produce it from the l form with the enzyme glutamate racemase) and the liver of mammals
In cases of severe deficiency, a course of injections may be given over several weeks before transitioning to maintenance treatment
They may be prescribed when a patients needs cannot be met by a commercially available drug or during shortages
Key Takeaways Dapagliflozin is an SGLT2 inhibitor that works through the kidneys
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