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Possible drug interactions include: Alcohol may increase the risk of lactic acidosis (Janumet) Carbonic anhydrase inhibitors such as topiramate, zonisamide, acetazolamide or dichlorphenamide may increase the risk of lactic acidosis (Janumet) Digoxin (Januvia) Insulin may increase the risk of low blood sugar (Januvia and Janumet) Share This Page: Who Am I Calling

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Your healthcare provider will ensure that the dosing schedule works for you and will monitor your progress to make necessary adjustments for optimal results

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Most cases are mild and resolve within 12 weeks as your body adapts to lower appetite and reduced calorie intake