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However, intraorally, hyperpigmentation is more typically a consequence of physiologic, idiopathic sources, neoplasia, medications, high serum concentrations of pituitary adrenocorticotropic hormone (ACTH), postinflammatory changes, and genetic or autoimmune disorders
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Bull Exp Biol Med 2001;131:3946
Whilst all GLP-1 medications can cause nausea to varying degrees, evidence suggests dulaglutide (Trulicity) and once-weekly exenatide (Bydureon) tend to produce lower rates of nausea compared with other options
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