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The 10 mg vial can be more cost-effective for higher-dose or longer protocols

Research shows that extending your titration schedule from 4 weeks to 68 weeks does not reduce overall weight lossit simply spreads the results over slightly longer timeframes while allowing your GI system to adapt

19 Nevertheless, in 2017, the FDA added an warning to Januvia's package insert that advised prescribers to weigh the risks and benefits of sitagliptin in patients at risk for HF before initiating therapy

The medications side effects include some stomach problems, but some patients have experienced extreme gastrointestinal issues, including excessive vomiting that resulted in emergency room visits and even lost teeth