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Persistent nausea that never fully resolves
For dulaglutide (Trulicity) and exenatide (Bydureon) : Administer within 3 days of the missed dose, then resume the regular schedule
Studies suggest fasting increases natural GLP-1 secretion, enhancing insulin sensitivity and promoting fat loss
More extensive human trials are needed to confirm these preclinical observations, establish optimal dosing, and fully understand its safety profile
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