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however, no single pathogenic agent has been routinely isolated in clinical cases [106]

So while it may not make you sick directly, it can still interfere with your diabetes treatment in ways that matter

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Randomized clinical trial comparing the efficacy and safety of treatment with the once-weekly dipeptidyl peptidase-4 (DPP-4) inhibitor omarigliptin or the once-daily DPP-4 inhibitor sitagliptin in patients with type 2 diabetes inadequately controlled on metformin monotherapy