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You should discuss libido changes with your doctor if you experience new or worsening decreased sexual desire that persists for more than 2-4 weeks, particularly if it affects your quality of life or relationships

Senna is available in capsules, tablets, and teas.

See if youre eligible for the manufacturers savings program Boehringer Ingelheim, the manufacturer of Jardiance, offers a savings program for people with commercial insurance (not Medicare or Medicaid, for example) who pay a copay or coinsurance fee for the medication

If side effects are preventing you from increasing your dose, consult with your doctor

What matters is the weekly cadence and the consistency of your overall protocol not whether you injected at 8 AM versus 11 AM on any single week