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One outlier was removed from the vehicle, MK-801 and GLP-1MK-801 groups due to deviation related to tissue processing

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Dulaglutide is a fusion protein consisting of two identical disulfide-linked chains, each composed of a GLP-1 analog (90% homology with native GLP-1) covalently linked to a modified human IgG4 Fc domain [25]

Other reasons associated with poor glycemic control include physicians' lack of knowledge about diabetes treatment guidelines or their choice not to follow them