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Propensity score density functions were compared between cohorts before and after matching, and standardized mean differences were calculated for each individual covariate to ensure adequate balance

Dulaglutide Dulaglutide is a once-weekly injectable medication that helps regulate insulin and blood sugar levels

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The standard titration schedule starts at 2.5 mg weekly for four weeks, then increases to 5 mg weekly for at least four weeks, with potential escalation to 7.5 mg, 10 mg, 12.5 mg, and 15 mg based on tolerability and response