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Discuss individual risk factors (diabetes type, weight change expectations, alternative therapies), confirm baseline metabolic markers, and establish a monitoring plan for the discontinuation period

As a general rule, people do not tend to experience side effects from using DPP-4 inhibitors or have dangerously low blood sugar [14]

As the comprehensive safety review by Quigley et al

Precautions During Treatment: Patients must regularly monitor their blood glucose (sugar) levels, especially if they are overweight or have a family history of diabetes

Blood testing may help identify or clarify selected nutrient deficiencies, but test selection and interpretation should consider symptoms, diet, medications, supplements, medical history, and related biomarkers