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11,12 Importantly, these structured lifestyle interventions may support more effective use of these medications due to their high costs, which are a large and rising contributor to the more than $400 billion in annual U.S

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That model is now being disrupted

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Common Side Effects: Many individuals may experience gastrointestinal side effects, especially when first starting or increasing the dosage

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Before initiating JANUVIA, ask patients about a history of heart failure or other risk factors for heart failure including moderate to severe renal impairment

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