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International Psychogeriatrics 19(3):539-558

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Having obesity and [being] overweight seen as a medical condition and having insurance companies willing to cover that as opposed to just covering diabetes medication brings down the cost. Ultimately, having these medications available is a good thing, she says

Trulicity has also not been studied in people with severe gastrointestinal disease, including severe gastroparesis, and is therefore not recommended for use

Because the absorption methods are completely different, you cannot simply swap doses like-for-like