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[Google Scholar] [4].Magliano DJ, Boyko EJ, and Atlas ID

A review of Diabetic Gastroparesis found that the class of drugs known as glucagon-like peptide 1 (GLP-1) receptor agonists such as dulaglutide (Trulicity) may exacerbate the symptoms of diabetic gastroparesis and therefore are not recommended for individuals experiencing symptoms of gastroparesis

For other individuals, however, the benefits of improved glycemic control, weight loss, and cardiovascular risk reduction may outweigh theoretical concerns

Level of Clinical Oversight Named medical director, licensed prescribers, and clear titration protocols

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Higher temperatures accelerate degradation exponentially