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However, given our data are predominantly North American, we would expect the diagnosis to be based on clinical presentation and biochemistry/antibody testing

The median follow up was 5.4 year, 12.0% of the patients receiving dulaglutide and 13.4% of those assigned to the placebo group experienced the primary composite endpoint of non-fatal myocardial infarction, non-fatal stroke, or death from cardiovascular causes ( p = 0.026)

Exendin-4 could also induce the hydrolysis of GPIs but was delayed compared to the natural human GLP-1 amide (35)

Vomiting : Some clients may experience vomiting, particularly in the early stages of treatment

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Redness, swelling, or itching at the injection site can occur