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The most reported issues are increased nausea, vomiting, indigestion, and acid reflux

The following CVOTs, relative to DPP-4i and GLP-1RAs, have been identified and included in this review: EXAMINE, SAVOR-TIMI53, TECOS, CARMELINA, CAROLINA, ELIXA, SUSTAIN 6, EXSCEL, HARMONY, LEADER, PIONEER 6, REWIND, and AMPLITUDE-O [4749, 53, 54, 5663]

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Treatment of STC-1, GLUTag, or NCI-H716 cells with long-chain fatty acids potently increases intracellular Ca 2+ [253,292]

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However, safe and effective treatment requires more than just access to medication