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The worst rare side effects are pancreatitis (0.3%), gallbladder problems (1.4%), and acute kidney injury (0.7%), all occurring in under 2% of patients

In addition, they conducted in vitro studies with genetic and pharmacological DPP-IV inhibition

These would deliver medication through the skin without traditional injections, potentially appealing to patients who prefer oral medications specifically to avoid needles but are frustrated by dosing requirements

Bianchi, G

So, make sure you take these injections under strict medical supervision