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Safety: Sermorelin is generally well-tolerated, but possible side effects include injection site reactions, headaches, or flushing
Avoid: Inulin, FOS, GOS, resistant starch, and high-dose acacia fiber until bloating resolves
Guidelines suggest the additional use of DPP-4 inhibitors after metformin failure in patients that do not require antidiabetic therapy with proven cardiovascular benefit
How much and what to drink Aim for 60-90 ounces of fluid daily, roughly 8-11 cups
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