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Evidence that commonly strengthens a claim includes medical records showing diagnosis and treatment, proof of lost wages, prescription and pharmacy records demonstrating Trulicity use, and qualified expert testimony linking the drug to the injury

Other contributing factors include concomitant medications (such as certain antihypertensives), psychological stress, and pre-existing vascular disease

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Aspartate 155 of human transketolase is essential for thiamine diphosphate-megnesium binding, and cofactor inding is required for dimer information.Biochemica et Biophys Acta, 1997;1341:165-72