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Clinical trials lasting up to 52 weeks have shown a reduction in HbA1c levels of approximately 1% with DPP-4 inhibition (18)

Potential for Cognitive and Motor Impairment Advise patients that any CNS-active drug like Wellbutrin XL tablets may impair their ability to perform tasks requiring judgment or motor and cognitive skills

Monitor for any changes in bleeding patterns, as this could indicate reduced progesterone effectiveness

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These findings remain preliminary and should be interpreted cautiously, but they highlight the peptides complex regulatory effects on cellular biology

However, she was also using injectable compounded thymosin