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For 5 mg/mL, add 2.0 mL
If the spike looks aggressive, consider an intermediate step at 3.75 mg first, something compounded medications make possible but branded pens do not
However, elderly patients may have decreased kidney function and may be more sensitive to side effects like nausea, vomiting, and dehydration, which could impact kidney health
Dulaglutide: Brand name Trulicity FDA approved for Type 2 Diabetes Mellitus (T2DM) and requires a PA with chart notes documenting diagnosis (confirmed with lab values) and trial and failure with 30 days of metformin or another antidiabetic drug
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