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In patients with ESRD on hemodialysis, dulaglutide has been shown to significantly reduce insulin requirements without increasing hypoglycemia (21), and liraglutide improved glycemic control in a placebo-controlled study of dialysis patients (18)

In some cases, referral to an endocrinologist or menopause specialist may be appropriate for comprehensive management

If side effects persist or intensify, your PlexusDx provider may recommend temporary dose reduction, dietary adjustments, or medication timing changes to improve tolerability while preserving therapeutic benefit

Heres what you need to know about the potential of melatonin overdose, and how you can avoid it