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Description
Metabolic optimization reduces pancreatic stress

And real-world care is not the same as a clinical trial

Although the reduction in glycated hemoglobin is greater with the combination, it does not appear to be additive [40]

Is this the same as Ozempic
The same principle applies

When JANUVIA was coadministered with a sulfonylurea or with insulin, the percentage of patients with at least one adverse reaction of hypoglycemia was higher than in the corresponding placebo group (Table 3)
