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patients experiencing new or worsening joint symptoms should inform their GP or diabetes team [14] [20] Hepatic effects : Vildagliptin should be avoided in patients with hepatic impairment, and liver function tests should be monitored during treatment as specified in its SmPC

GLP-1, in turn, influences both immune responses and microbial homeostasis

Sometimes it is a signal

It is not because of the ingredients

The clearest contraindications in the FDA labeling are a personal or family history of medullary thyroid carcinoma (MTC), the genetic condition MEN 2, and a known serious allergic reaction to the specific drug