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That said, some patients reported the following side effects: Anxiety due to a drop in blood sugar Headaches Darkened urine Fast heartbeat Injection site reactions (pain, redness, etc) Gas and increased potency of gas (their poop smelled) Some other adverse reactions have been reported by individuals, but these are individual reactions that have not been found in other treated patients

DPP-4 inhibitors do not have significant effects on GI motility or appetite that are observed with more efficacious (DPP-4 resistant) GLP-1 agonists

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They supervise me well, making sure that I am not losing too fast, or not at all and we have discussions about my treatment when I go in