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For patients with severe renal insufficiency (CrCl less than 30 mL/min, approximately corresponding to serum creatinine levels of greater than 3.0 mg/dL in men and greater than 2.5 mg/dL in women) or with end-stage renal disease (ESRD) requiring hemodialysis or peritoneal dialysis, the dose of Januvia is 25 mg once daily

[6] Doctors have found conflicting evidence about long-term medications and vitamin B12 deficiencies, so talk to your doctor to help monitor your vitamin levels

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Physician Developed Supplement Recommendations Dr Sultan has created a full line of supplements designed to support metabolic balance, reduce inflammation, stabilize energy, enhance sleep patterns, and complement GLP 1 medications safely and naturally

The appetite-suppressing effects of these medications may reduce hunger, but many patients still experience chocolate cravings that can derail progress if not addressed strategically