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In 1999, the American Heart Association stated that diabetes is a cardiovascular disease [1]
Consult your prescribing information or healthcare provider for your specific medications flexibility

The report cites two specific reporting infractions, one for a patient who experienced a stroke and another for a patient who committed suicide
Design, synthesis and biological evaluation of novel pyrazolo-pyrimidinones as DPP-IV inhibitors in diabetes

doi: 10.1089/chi.2019.0040 Tulipano G (2021): Integrated or Independent Actions of Metformin in Target Tissues Underlying Its Current Use and New Possible Applications in the Endocrine and Metabolic Disorder Area

The authors theorized this may be due to reduced frequency of injections
