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Nausea is also more common in the first few weeks of treatment

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If appetite is low, liquid options like a protein shake can be easier than a full meal, she says

Maintenance: What to Expect Your starting dose of 2.5 mg is intentionally below the amount needed for full weight-loss benefits

It is one of the main causes of liver fibrosis and cirrhosis

Evidence for Cardiovascular Safety The DPP-4 inhibitors have not demonstrated any sustained or clinically significant reduction in other cardiovascular risk factors, such as blood pressure or lipids