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The EMPA-HEART trial showed reduction in LV mass and systolic BP in HF with reduced ejection fraction (HFrEF) patients, although the effects on N-terminal pro-B-type natriuretic peptide (NT-proBNP) was insignificant.36 The EMPERIAL trials (NCT03448419 and NCT03448406) reported no significant improvements in exercise capacity measured by 6-minute walking distance

Gastroparesis is a central issue in the Trulicity and GLP-1 case, because it is one of the dangerous complications people are experiencing after taking those products

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The rare serious side effects require awareness and physician monitoring

20%) [Figure 11.3]
