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When to contact your healthcare provider Contact your healthcare provider right away if you have: Thoughts of suicide or self-harm Severe rash, skin peeling, or blisters Yellowing of your skin or eyes Dark urine or upper stomach pain Confusion, rapid heart rate, or severe muscle stiffness Unusual or heavy bleeding Signs of a severe allergic reaction, like swelling of the face, lips, or throat, or trouble breathing References Cymbalta (duloxetine) prescribing information
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doi: 10.1126/science.1092385 117 LiYLiMWeigelBMallMWerthVPLiuMLet al
Differential effects of once-weekly glucagon-like peptide-1 receptor agonist dulaglutide and metformin on pancreatic -cell and insulin sensitivity during a standardized test meal in patients with type 2 diabetes