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Significant reductions in body weight are observed with 3.0 mg and 4.5 mg dulaglutide, doses which have been recently approved for people living with T2DM who are taking metformin but experiencing inadequate glycemic control [66, 119]

On your diabetes point, the widening gap matches what I see in practice, where patients with type 2 lose less and arrive expecting the number everyone else quotes, which is a counseling problem before it is a pharmacology one

Carbonated beverages add gas to a GI system that is already moving slowly

Spotting or unscheduled bleeding between periods could also arise, which might cause some concern

occasional mild injection-site reactions, transient flushing, headache, or water retention may occur [1] [7]

Maximizing protein intake and focusing on resistance exercise helps signal to the body to retain muscle tissue