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[See Clinical Pharmacology.] Concomitant Use with a Sulfonylurea When Januvia is used in combination with a sulfonylurea, a lower dose of sulfonylurea may be required to reduce the risk of hypoglycemia

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This combination gave me something that diet and cardio alone never could

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This information helps identify triggers for glucose excursions and informs lifestyle modifications

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The FDA requires this warning based on animal data, and notes that it is unknown whether these medications cause thyroid C-cell tumors, including medullary thyroid carcinoma, in humans

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