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These symptoms can vary in severity from person to person

Association between adherence to the food guide golden rule and health characteristics among adult Brazilian women: a cross-sectional study with VIGITEL data, 2018-2021

These may include injection site reactions, allergic reactions, and interactions with medications

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Drug interactions: metformin Carbonic anhydrase inhibitors (acetazolamide, zonisamide) Drugs reducing metformin clearance (cimetidine, dolutegravir, ranolazine, vandetanib) Alcohol (risk of lactic acidosis) How they work together Januvia increases incretin levels to boost insulin release and lower glucagon, while metformin reduces hepatic glucose output and improves insulin sensitivity