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Arequipa is known as the White City because many of its historic buildings are constructed with sillar , a white or beige volcanic stone quarried from the Chachani volcano

[1] [2] If a GLP-1 receptor agonist like Trulicity is initiated, any existing DPP-4 inhibitor such as Januvia should typically be discontinued

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This step-up approach helps balance appetite suppression, weight loss progress, and tolerability

It lists persistent severe nausea, vomiting that prevents food or fluid intake, abdominal bloating unrelieved by position change, and inability to tolerate any oral intake after two weeks of stable therapy

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