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Your doctor will likely screen you for risk factors before prescribing these medications

People with preexisting GI symptoms may be more prone to discomfort or intolerance, though responses vary, and formal evidence is limited

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These include: the type and severity of the condition youre using Januvia to treat your age other medical conditions you may have how well your kidneys work Typically, your doctor will start you on a low dosage

The most common side effects include: Nausea Vomiting Constipation Diarrhea Heartburn Stomach discomfort Reduced appetite Bloating These side effects are usually mild and improve as your body adjusts

If nausea is severe or persistent, always contact your healthcare provider to discuss your symptoms