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In contrast, in some situations, particularly when combined with high-dose ACEI, DPP-4i may exhibit hypertensive effects by stimulating sympathetic activity and alleviating the degradation of GLP-1 and substance P

2022 Aug 1;80(2):171-179.

Counterfeit vials sold outside licensed pharmacies are a real and growing risk in India, and dosing errors without medical supervision can be dangerous, no matter which option you choose

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