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Common side effects of Trulicity may include: Nausea Diarrhea Vomiting Abdominal pain or discomfort Decreased appetite Fatigue (general weakness and fatigue) Dyspepsia (burning, discomfort, or pain in the digestive tract) On the other hand, common side effects for Januvia can be: Upper respiratory infection Nasal congestion Sore throat (pharyngitis) Headache -Stomach upset and diarrhea Patients should consult their healthcare provider if they experience any of these symptoms while taking these medications

[17] [18] Appropriate ophthalmic monitoring is advised for those with pre-existing retinopathy

Garshick adds that kojic acid soaps should only be used once daily, either in the morning or evening