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According to the MHRA product information, nausea is very common (affecting 1/10 patients), particularly during dose escalation

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On top of that, alcohol can disrupt sleep, which could lead to further fatigue (although studies havent been conducted on this topic yet)

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If you are on thyroid hormone medication, prior to starting Trulicity, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted.The drug levels of medications with narrow therapeutic windows (ie warfarin) should be monitored closely while on Trulicity

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