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Lancet 397(10278):971984 Gerstein HC, Colhoun HM, Dagenais GR et al (2019) Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind, randomised placebo-controlled trial
They are also exactly how high severity events become surprises. Robust medication governance requires: Consistency in disclosure Clarity in written and verbal education Defined escalation instructions Documentation of counseling Feedback loops when adverse events occur In other words, a serious but uncommon risk needs a standardized workflow
By month 3, nausea is typically limited to occasional mild episodes
Educational References Jastreboff AM, et al
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