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10.1016/S2213-8587(19)30249-9 54

Mutagenesis Saxagliptin was not mutagenic or clastogenic in a battery of genotoxicity tests (Ames bacterial mutagenesis, human and rat lymphocyte cytogenetics, rat bone marrow micronucleus and DNA repair assays)

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Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine

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Murray PG, Clayton PE