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However, they should not be used with DPP-4 inhibitors (such as sitagliptin), and insulin or sulphonylurea doses may need adjustment to prevent hypoglycaemia
Other potential side effects may include hypomagnesemia, vitamin B12 deficiency, and osteoporosis-related fractures
44 (6): 707719.e1
In people whose vitamin B 12 deficiency is related to overgrowth of intestinal bacteria, treatment with oral antibiotics such as tetracycline (sold under several brand names) may stop bacterial overgrowth and allow the absorption of vitamin B 12 to return to normal
GIP is a second incretin hormone with its own effects on appetite and metabolism
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