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This case is notable because the patient had previously tolerated dulaglutide without any injection site reactions, emphasizing that tolerance to one GLP-1 agonist does not predict tolerance to another
Conditions such as rheumatoid arthritis, lupus, multiple sclerosis, and Hashimotos thyroiditis are common examples
Related to the previous point, as mentioned by the authors, dimer effects of GSHR1a are "one small part of the puzzle" for many of these behaviors and disorders
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