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not recommended for use with DPP-4 inhibitors Common side effects : Gastrointestinal symptoms (nausea, vomiting, diarrhea) that typically diminish with continued use and proper dose titration Referral to endocrinology or obesity medicine specialists is appropriate for complex cases, including patients with multiple failed therapies, significant comorbidities, or those requiring comprehensive weight management programs

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Patients that choose to use these medications at high doses to lose weight rapidly will more than likely pay the price dearly with other health issues and weight gain if they discontinue the peptide

Diabetic management will be discussed with you by your doctor and other healthcare providers