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Here are some stats: Pancreatitis is seen in about 0.2% of people in studies, which is similar to people not taking the drug, but its still a known risk so its taken seriously

Do not take this medication if pregnant, trying to get pregnant or breastfeeding

Thus, DPP4 inhibition also plays an important role irrespective of the duration of diabetes

But, thats just not the case
Pettie: So long as I know it not, it hurteth mee not. In this issue of Diabetes Care , Drucker et al

To maximize benefits and limit harms, stakeholders must pair pharmaceutical advances with equitable access policies, rigorous longterm safety monitoring and integrated care strategies that treat obesity as the chronic disease it is.