The enzyme DPP-4 has been found to play a significant role
The body is responding to a powerful metabolic intervention on multiple fronts simultaneously, and understanding the full side effect landscape helps put sexual changes in proper context
If side effects persist or grow worse with each dose increase, clinicians usually slow escalation, reduce the dose, or suspend therapy while investigating other causes
A useful benchmark: if you have lost 20 percent or more of starting body weight, if your appetite is well-controlled, and if you are tolerating the current dose without significant GI burden, there is no clinical imperative to escalate further
You accidentally added too much water This happens
Headaches have also been reported more often by women than men, says Rani Aravamudhan, MD, a physician based in the Detroit metropolitan area