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Description
For patients with diabetes, hypoglycemia risk increases when GLP-1 agents are combined with insulin or sulfonylureas

For pain and inflammation Bromelain has also been studied at 5001,000mg per day in pain and inflammation settings

Common side effects include nausea, vomiting, diarrhea, constipation and abdominal pain, as well as headache and dizziness

Factors in history that may predispose to DKA include low beta-cell reserve, sudden reductions in insulin, increased insulin requirements due to acute illness, surgery and alcohol abuse

Januvia (sitagliptin) is a DPP4 inhibitor approved to help control blood sugar
