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Less Common Side Effects Fatigue Abdominal discomfort Mild dizziness Rare but Serious Reactions Pancreatitis symptoms Severe allergic reactions Gallbladder problems Seek immediate medical attention if severe symptoms occur

15, Clinical Kidney Journal

The dermal papilla cells are responding

Crit Rev Food Sci Nutr 57(12):24972525

Glucose itself does not seem to directly modulate the catalytic activity of DPP-4, as shown in vitro , by incubating the enzyme with high concentrations of glucose (76)