GLP-1 receptor agonists (semaglutide, dulaglutide, liraglutide) can cause fatigue through reduced caloric intake, gastrointestinal side effects, and metabolic adjustment
McCall McPhereson: I think a couple things
Trulicity has been linked to dangerously low blood sugar levels, though this is rare
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that constellation of abdominal obesity, high blood pressure, elevated blood sugar, abnormal cholesterol