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Comp Biochem Physiol B Biochem Mol Biol 121(1):4956 Mentlein R, Gallwitz B, Schmidt WE (1993) Dipeptidyl-peptidase IV hydrolyses gastric inhibitory polypeptide, glucagon-like peptide- 1(736)amide, peptide histidine methionine and is responsible for their degradation in human serum

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Weeks 9-12: 7.5mg once weekly (if needed)

These issues may lessen over time, but are severe enough that many doctors prescribe other drugs during the initial dose escalation phase to mitigate your suffering