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They may recommend restarting at a lower dose and re-titrating to avoid a surge of GI side effects

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For musculoskeletal indications, most patients at our Doral clinic report a noticeable reduction in pain within 2 to 3 weeks and a functional improvement (range of motion, strength, load tolerance) by weeks 4 to 8

Some of it is broken down by the DPP-4 enzyme, which helps regulate hormone levels

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