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Following subcutaneous injection, Trulicity is absorbed slowly into the bloodstream, with maximum plasma concentrations typically reached within 24 to 72 hours (with an average of approximately 48 hours), as documented in the Summary of Product Characteristics

If A1C levels remain above goal after three months of therapy, a second agent should be added (e.g., sulfonylurea, thiazolidinedione, dipeptidyl-peptidase-4 inhibitor, glucagon-like peptide-1 receptor agonist, insulin)

You also get it from food, primarily red meat and dairy products

Most clinics make you get anti-nausea meds as a separate prescription at your local pharmacy

FASEB Journal, 2010