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do not combine dpp-4 inhibitors with glp-1 receptor agonists guideline DPP4 vs | June 2021 | Clinical Corner Frontiers | Mechanisms of action
Description
The manufacturing site

People taking GLP-1 medications had higher risks for 19 health outcomes, mostly involving digestive issues such as heartburn, nausea, vomiting, stomach pain and gastroparesis (stomach paralysis)

Young MF, Ramakrishnan U
These effects are linked to an increase in -cell mass

As noted above, I have been using it at a dose far below what youll see in any clinical trial or pharmacy packaging, referred to as a microdose