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Otherwise, patients taking both a DPP4i and GLP1-RA could benefit from discontinuing the DPP4i

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When hypoglycemia is accompanied by a low concentration, or even absence, of ketone bodies in plasma and urine, hyperinsulinism and disorders of carnitine transport and mitochondrial fatty acid oxidation, including long-chain fatty acid oxidation disorders (lcFAODs), may be involved as cause

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