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In a further study focused on cardiovascular disease outcomes, Wang et al

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It works by simultaneously activating the glucose-dependent insulinotropic polypeptide receptor (GIP-R) and glucagon-like peptide-1 receptor (GLP-1R), which results in increased insulin release, decreased glucagon secretion, reduced hunger, delayed gastric emptying, and significant weight loss

JAMA 2022, 327, 534545

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(2021) Efficacy and safety of dulaglutide 3.0 mg and 4.5 mg versus dulaglutide 1.5 mg in metformin-treated patients with type 2 Diabetes in a randomized controlled trial (AWARD-11) Using fat-dissolving injections that are not FDA approved can be harmful (2023) Sareen S