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From a patient and providers perspective, the official FDA shortage list unfortunately doesnt always reflect patients reality in real-time (it was never designed to do so and its not an inventory management system)

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Initial therapy with the combination of JANUVIA and metformin provided significant improvements in A1C, FPG, and 2-hour PPG compared to placebo, to metformin alone, and to JANUVIA alone (Table 8, Figure 1)

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I think the stress made him ill, in part