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Additional screening toolssuch as the Family-APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) [138] (5 items) or the Body Image Disturbance Questionnaire (BIQLI) [139] (7 items)can offer contextual insights into family strain and body image distress, informing the need for further psychological support

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The distributions of the 1.5 mg dosage in this study are in line with those in previously published retrospective reports of proportions of users receiving dulaglutide 1.5 mg at first dispensation, which ranged from 49% to 93% [13,14,15]

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