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Interestingly, the metabolites from PPP, purine, and pyrimidine metabolism that decreased under Cr GPDH expression all contain sugar phosphates

Dulaglutide itself has a small but real signal for elevated liver enzymes in post-marketing surveillance

Konig SA, Siemes H, Blaker F, Boenigk E, Gross-Selbeck G, Hanefeld F, Haas N, Kohler B, Koelfen W, Korinthenberg R: Severe hepatotoxicity during valproate therapy: an update and report of eight new fatalities

However, because both are processed by the liver, you should always inform your family doctor so they can monitor your liver enzymes during your routine blood tests