- Liraglutide, semaglutide, and dulaglutide demonstrated similar kidney and cardiovascular protection in veterans with type 2 diabetes.
- Liraglutide was associated with a lower all-cause mortality risk compared with both semaglutide and dulaglutide.
- Dulaglutide showed a lower risk of gallstones and acute cholecystitis relative to semaglutide.
- All three agents produced modest and comparable weight loss over 24 months (approximately 10–12 lb).
- Findings support class-wide cardiorenal benefits while emphasizing individualized GLP-1RA selection based on patient-specific risks and comorbidities.
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