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Typically, side effects are more pronounced when a person begins taking Ozempic or when their dosage is increased

NICE guidance (NG28) explicitly states not to offer a DPP-4 inhibitor in combination with a GLP-1 receptor agonist due to limited additional benefit

[6] Fasting for at least two hours before injection and avoiding carbohydrates for 30 minutes post-injection minimizes the blunting effect of insulin on GH release

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