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A large bruise on the abdomen without any known trauma, repeated bruises in multiple areas, or bruises that appear after minimal contact should prompt a closer look

Both albiglutide and dulaglutide received FDA approval for the treatment of T2DM in 2014, with dulaglutide having an additional indication since 2020 to reduce the risk of major adverse cardiovascular events (MACE) in adults with T2DM and established cardiovascular disease or multiple cardiovascular risk factors [ Table 2 ]

It is first reduced with sodium borohydride to ethyl -bromo--hydroxybutyrate, which then reacts with trimethylamine to form a quaternary ammonium salt, ethyl bromotrimethylammonio--hydroxybutyrate