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The most common side effect by far is nausea

Most experts recommend long-term or indefinite use, transitioning to a maintenance dose rather than stopping completely, combined with sustained lifestyle changes

Effects of adding linagliptin to basal insulin regimen for inadequately controlled type 2 diabetes: a 52-week randomized, double-blind study

Using both together might allow for lower doses, potentially minimizing side effects

NASCOBAL- cyanocobalamin spray Par Health USA, LLC ---------- NASCOBAL is indicated for: Limitations of Use Prior to treatment, obtain hematocrit, reticulocyte count, vitamin B12, folate, and iron levels [see Dosage and Administration (2.4)]