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It can also lead to symptoms such as nausea, bloating, and a prolonged sensation of fullness, particularly during the dose-escalation phase

SADI-S/SIPS = GLP-1 + GIP So mechanistically theyre doing the same thing (sleeve + bypass of upper intestine), but SADI-S does it with one connection instead of two, and somehow gets an even bigger hormonal response

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(This condition is caused by damaged blood vessels in the eye, which may lead to vision loss.) Trulicity may worsen diabetic retinopathy

The syringe also has a thinner barrel diameter, which magnifies small volume differences and improves measurement precision