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A growing number of patients and providers are finding success with lower maintenance doses, sometimes far below 20 units at standard concentrations

Januvia Side Effects Pancreatitis Acute Pancreatitis Hemorrhagic Pancreatitis Necrotizing Pancreatitis Pancreatic Cancer Thyroid Cancer Heart Failure Gallbladder Disease Bile Duct Disease Joint Pain Death Bile Duct / Gallbladder Disease An August 2016 study published in JAMA Internal Medicine found that incretin-based type 2 diabetes medications like Januvia were linked to a 79% increased risk for bile duct and gallbladder disease

Whether that's Monday evening after dinner, Wednesday morning before breakfast, or Friday afternoon matters far less than maintaining the same schedule