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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

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Inflammation and fibrosis are distinct disease processes, and a drug may improve one without affecting the other