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However, they are not a one-size-fits-all solution

Adequate response: If you are achieving satisfactory results at a lower dose, there is no requirement to escalate

To better control blood sugar levels, Januvia can be taken with other diabetic drugs including metformin, insulin, or sulfonylureas

This allows the body time to adapt and tolerate the medication while minimizing side effects

But an animal study suggests that muscle loss could possibly be less dramatic than expected.) Muscle loss among those taking GLP-1s is something Gabrielle Lyon, DO, a family medicine physician and author of Forever Strong , has noticed as welland she says the effects could potentially be detrimental