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this difference may result from a ~5x stronger effect produced by GLP-1 analogs, compared to DPP-4 inhibitors (Charbonnel & Cariou, 2011) No change in weight Contraindications: type I diabetes (these patients lack pancreatic beta cells) diabetic ketoacidosis (it would not be effective for treating this condition) an association between DPP-4 inhibitors and heart failure has been observed for two members of this drug class in patients with type 2 DM and atherosclerosis

However, your blood sugar levels start to improve once you are on your regular maintenance dose, which typically begins after the first four weeks

When blood pressure drops, less blood and oxygen may reach the brain, leading to feelings of lightheadedness or dizziness

However, the nutritional strategies outlined above are likely more effective than switching medications, because they address the root cause directly

The easier it is to access care, the more likely you are to stick with it and achieve lasting results