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DPP-4 inhibitors: These medications, such as Januvia and Tradjenta, work by preventing the breakdown of incretin hormones, which help regulate blood sugar in response to meals

This stress build-up results in cell damage that can lead to fatigue, inflammation and long-term health issues

Persistent nausea may prevent adequate food and fluid intake, while vomiting and diarrhea can lead to dehydration and electrolyte imbalances

Most studies are small, short in duration, conducted in specific populations (such as those with metabolic syndrome), and frequently funded by supplement manufacturers all factors that introduce significant bias

You are never left guessing about side effects or risks