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Improvement in tissue remodeling in treated rats was associated with accumulation of cells positive for SDF-1, CXCR-4 and CD34 within and around the infarcted area
Three different dosing schedules
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Common side effects are usually mild to moderate and may include: Nausea Diarrhea Vomiting Stomach pain Redness at the injection site Suppressed appetite Weight loss Low blood sugar (particularly if combined with insulin therapy) Rare but serious side effects can include: Acute pancreatitis, Severe allergic reactions, Impaired kidney function, and Medullary thyroid carcinoma (MTC) Avoid this medication if you have a personal or family history of MTC or multiple endocrine neoplasia, or if you are allergic to dulaglutide
Some providers recommend slowing the taper at this point, spending an extra week or two at the mid-range dose if appetite is particularly challenging
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