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It causes uncomfortable symptoms after you eat.
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Remove the Pen: Once the dose is delivered, remove the needle from your skin by pressing the plunger against a flat surface

In contrast, no benefits on the rate of decline in glomerular filtration rate have been seen in trials of DPP-4 inhibitors, perhaps because the renal actions of DPP-4 inhibitors are primarily mediated by potentiation of SDF-1, not GLP-1
