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By inhibiting DPP -4, these medications prolong the action of incretins, leading to improved blood glucose control
A Cochrane review comparing oral and intramuscular B12 found comparable effects on blood levels, and the same principle of good absorption applies to the subcutaneous route
Fatigue may be more noticeable after a dose increase or if youre trying to maintain a very low-calorie diet while on the medication
Starting too high almost always produces severe nausea
Specific medical conditions People with kidney, liver or cardiovascular problems, or those undergoing any form of treatment, should consult a doctor before increasing their L-carnitine intake
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