It is engineered to resist degradation by the enzyme dipeptidyl peptidase-4 (DPP-4), allowing for prolonged activity
This symptom typically arises through indirect mechanisms including hypoglycemia when combined with other diabetes medications, dehydration from gastrointestinal side effects, or orthostatic hypotension related to rapid weight loss
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[DOI] [PMC free article] [PubMed] [Google Scholar] 159.Wharton S., Davies M., Dicker D., et al