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Gastrointestinal adaptationmild nausea or changes in digestion during dose escalationcan temporarily mask scale progress even though underlying metabolic changes are occurring

[PubMed] [Google Scholar] 64.Qin X, Shen H, Liu M, Yang Q, Zheng S, Sabo M, et al

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[18] Adverse effects [edit] In individuals already taking sulphonylureas, use of DPP-4-class medications concurrently increases their risk for low blood sugar events relative to those on sulphonylureas alone