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Supplemental L-carnitine used as an adjunct to standard medication may improve exercise tolerance in individuals with heart failure

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7 Initiating and monitoring If adding a DPP-4 inhibitor to sulfonylurea, meglitinide or insulin therapy, consider whether a dose reduction of the sulfonylurea/meglitinide/insulin is needed to reduce hypoglycaemia risk

Onodera et al

Typically, when a foreign invader assaults the body, the immune system detects it by its cell-wall proteins, developing specific antibodies to launch an immune attack