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When JANUVIA was coadministered with a sulfonylurea or with insulin, the percentage of patients with at least one adverse reaction of hypoglycemia was higher than in the corresponding placebo group (Table 3)

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And real-world care is not the same as a clinical trial

Stomach paralysis, medically known as gastroparesis, is a condition in which the stomach muscles no longer move food through the digestive tract at a normal rate
