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They may contain the same active ingredients as FDA-approved medications

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Summary: NICE guidance advises against combining Trulicity (a GLP-1 receptor agonist) and Januvia (a DPP-4 inhibitor), recommending that DPP-4 inhibitors be discontinued when starting GLP-1 receptor agonists

Medical Records: Pre-treatment health status Diagnosis that led to prescription Documentation of symptoms Diagnostic testing (especially gastric emptying scans) Treatment for complications Hospitalizations and ER visits Current status and ongoing treatment 3

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