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Severe gastrointestinal disease, particularly gastroparesis, may alter both efficacy and tolerability and requires careful consideration

Will I need to use Januvia long term

Papaetis GS, Kyriacou A (2022) GLP-1 receptor agonists, polycystic ovary syndrome and reproductive dysfunction: current research and future horizons

This can also increase the fermentation of food by gut bacteria because it stays in the stomach longer

Fibrosis improvement endpoint did not reach statistical significance
