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Key study characteristics, including publication year, country, study design, primary findings, and lipid measures, were extracted and summarized in a table using Microsoft Excel (see Supplementary material)

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Dulaglutide reduced MACE by 12% (HR 0.88, 95% CI 0.790.99), with consistent benefits across MI (HR 0.87), stroke (HR 0.86), and cardiovascular death (HR 0.91) [8]

This suggests a potential cardiovascular protective effect, although long-term studies are needed to fully understand the implications