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Document your sites to ensure proper rotation

19-22 Warnings and precautions: Several post-marketing reports of serious adverse events associated with DPP-4 inhibitors have led to the addition of several warnings and precautions to the U.S

Some research framings use a 5-days-on / 2-off pattern to build in a weekly break

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Fatigue : Feeling tired is a common signal that your body is adapting to new eating patterns and energy use