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Individuals with liver disease should exercise caution, as rare cases of liver injury have been reported, and berberine undergoes hepatic metabolism

Diagnosis codes were identified across a number of potential services including inpatient/outpatient, specialty care, and pharmacotherapy prescriptions

Though not common, some side effects of these medications can be severe
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However, there is limited clinical experience with dulaglutide in liver disease so caution should be used

The number of doses in a vial may vary
