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Interestingly, the presence and metabolic activity of Ruminococcus bromii is particularly important when resistant starch is available (Ze et al., 2012)

Booth GL, Luo J, Park AL, Feig DS, Moineddin R, Ray JG

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[1] Patients experiencing persistent or severe side effects should contact their GP or diabetes specialist nurse rather than discontinuing the medication without medical advice

27,36 In a controlled study, 63 patients with type 2 diabetes and a lower-extremity ulcer were randomized to either saxagliptin 5 mg or placebo daily