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These facilities must maintain sterile environments, use pharmaceutical-grade ingredients, and perform potency testing on compounded preparations

In one of the AWARD studies Efficacy and Safety of Dulaglutide Versus Sitagliptin After 52 Weeks in Type 2 Diabetes in a Randomized Controlled Trial (AWARD-5), it showed that Trulicity was more effective in causing weight loss compared to another type 2 diabetes medication, called sitagliptin (a DPP-4 inhibitor)

Adding the probiotic to a broader metabolic support protocol that includes targeted nutrition changes, regular exercise, and adequate sleep may be necessary to create the cumulative effect that the probiotic alone cannot deliver

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