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The body's cells become resistant to insulin, or the pancreas does not produce enough of it, or both - while glucagon continues to drive blood sugar higher
[DOI] [PMC free article] [PubMed] [Google Scholar] 43.Neuen BL, Ohkuma T, Neal B, Matthews DR, de Zeeuw D, Mahaffey KW, et al

The short answer: Yes, chemically identical
Purchasing medications from unregulated online sources, sharing prescriptions, or using medications obtained from abroad carries significant risks, including counterfeit products, incorrect dosing, and lack of medical supervision