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Unlike GLP-1RAs, particularly dulaglutide (254), SGLT-2 inhibitors have not demonstrated cardiovascular benefits in primary prevention among individuals with multiple cardiovascular risk factors (261)

This allows symptoms of hyperthyroidism to improve within a few weeks to a few months, but treatment may need to be continued for up to a year or more

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Most operators will wake up to it on July 25 and be a year behind