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According to the UK Summary of Product Characteristics (SmPC) and NHS guidance, Trulicity should not be used during breastfeeding

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The GIP component may enhance insulin secretion, improve how your body processes fat, and provide extra appetite reduction beyond what GLP-1 alone delivers

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Getting started is straightforward

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This section addresses why this happens and when it matters

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A persistently rapid heart rate, new palpitations, chest pain, shortness of breath, or dizziness should be medically assessed, especially in people with existing heart conditions or those taking medicines that affect heart rhythm

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