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When people do experience symptoms outside the norm, it often tends to be unrelated, says Pinto

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Patients should report if gastrointestinal side effects persist beyond the first few weeks at a stable dose, as this may indicate poor tolerance requiring dose reduction or medication discontinuation

A few prevent enzymes work on carbs and thus slow down build-up of glucose

Peer review Peer review information Nature Reviews Endocrinology thanks Thomas Lutz and the other, anonymous, reviewer(s) for their contribution to the peer review of this work