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Fatigue may occur because the body is adjusting to treatment, but it may also reflect under-eating, low protein intake, dehydration, electrolyte changes, rapid weight loss, poor sleep, constipation, low blood sugar, low blood pressure, or another medical issue

Nausea, vomiting, and diarrhea were the most commonly reported adverse effects related to the dulaglutide treatment [15,72,73]

Nausea, diarrhea, vomiting, and constipation occurred more frequently at higher doses and were mostly mild to moderate in severity