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Patients with Renal Insufficiency For patients with mild renal insufficiency (creatinine clearance [CrCl] greater than or equal to 50 mL/min, approximately corresponding to serum creatinine levels of less than or equal to 1.7 mg/dL in men and less than or equal to 1.5 mg/dL in women), no dosage adjustment for Januvia is required

This medication builds momentum gradually

And depending on your situation, certain supplements might be helpful toojust run it by a healthcare professional, like a Midi clinician, first

However, mounting evidence suggests they cause serious gastrointestinal complications that manufacturers failed to adequately warn patients about