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Large meals against a slowly emptying stomach are a recipe for nausea

If your RA medications are doing something but not enough, and your flares and fatigue keep coming back, there may be a metabolic piece of your puzzle no one has addressed yet

In a two-day study in healthy subjects, sitagliptin alone increased active GLP-1 concentrations, whereas metformin alone increased active and total GLP-1 concentrations to similar extents

3 As interest in this drug class grows globally, more of these medications are being developed

There are several considerations including but not limited to high cost, a requirement for prior authorization, and denial of coverage [127]