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Add-on Combination Therapy with Glimepiride, with or without Metformin A total of 441 patients with type 2 diabetes participated in a 24-week, randomized, double-blind, placebo-controlled study designed to assess the efficacy of JANUVIA in combination with glimepiride, with or without metformin

However, there are real limitations to managing side effects remotely particularly for patients who are new to these medications or who have complex medical histories

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In such cases, B12 injections bypass the gastrointestinal tract, directly increasing vitamin levels and helping alleviate symptoms like fatigue and neurological issues