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SCIEX technical note, RUO-MKT-02-11886-A.

3135,41,42 They have also demonstrated efficacy in treating non-alcoholic fatty liver disease, a condition linked to chronic inflammation and metabolic dysfunction that can adversely affect healthspan

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Possible drug interactions include: Alcohol may increase the risk of lactic acidosis (Janumet) Carbonic anhydrase inhibitors such as topiramate, zonisamide, acetazolamide or dichlorphenamide may increase the risk of lactic acidosis (Janumet) Digoxin (Januvia) Insulin may increase the risk of low blood sugar (Januvia and Janumet) Share This Page: Who Am I Calling

Contact your GP or healthcare provider if you experience: Palpitations : Awareness of rapid, forceful, or irregular heartbeat, particularly if persistent or distressing Chest discomfort : Any chest pain, pressure, or tightness, especially with exertion Breathlessness : Unusual shortness of breath, particularly if worsening or occurring at rest Dizziness or lightheadedness : Especially if associated with near-fainting episodes Fatigue : Marked, unexplained tiredness that interferes with daily activities Persistent vomiting or diarrhoea : Which could lead to dehydration and kidney problems If you're unsure whether you need urgent care and cannot contact your GP, call NHS 111