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This is why it's associated with a wider range of effects, including increased libido (via MC4R) and appetite suppression

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Analysis of efficacy and safety of dulaglutide 0.75 mg stratified by sex in patients with type 2 diabetes in 2 randomized, controlled phase 3 studies in Japan

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These changes are associated with faster development of cataracts in knockout mice compared to wild-type mice

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