Engelman explains
Karagiannis T, Paschos P, Paletas K, Matthews DR, Tsapas A (2012) Dipeptidyl peptidase-4 inhibitors for treatment of type 2 diabetes mellitus in the clinical setting: systematic review and meta-analysis
Take once daily on an empty stomach with no more than 4 oz of water
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My energy is high, my muscles arent spasming, and my lungs are behaving wonderfully