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Trulicity's cardiovascular protection appears to operate through additional mechanisms beyond glycemic control including anti-inflammatory effects, improved blood vessel function, and reductions in blood pressure and triglycerides though the full picture of how dulaglutide reduces cardiovascular events is still being studied

Pandharipande PP, Girard TD, Jackson JC, et al

It is essential for bariatric surgery patients to work closely with their healthcare team to develop a post-surgery plan that includes adequate vitamin B12 supplementation