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10.2337/db13-1677 Diabetes

[5] [11] Poor diabetes control from ineffective medication can lead to: Persistent hyperglycaemia with symptoms including increased thirst, frequent urination, and fatigue Elevated HbA1c levels, increasing the risk of microvascular complications (retinopathy, nephropathy, neuropathy) [16] [17] Greater likelihood of macrovascular complications (cardiovascular disease, stroke) Risk of hyperosmolar hyperglycaemic state (HHS) in some individuals with type 2 diabetes [20] [21] Additional concerns include the theoretical risk of increased impurities or degradation products, although there is no official link between expired Trulicity and specific toxic effects

They come in different dose strengths

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