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[See Dosage and Administration (2.2).] Hepatic Insufficiency In patients with moderate hepatic insufficiency (Child-Pugh score 7 to 9), mean AUC and Cmax of sitagliptin increased approximately 21% and 13%, respectively, compared to healthy matched controls following administration of a single 100 mg dose of Januvia

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Some patients explore switching from semaglutide to tirzepatide and need to manage shipping logistics for both medications during the transition period

[3] [5] The timing of tirzepatide initiation after gastric sleeve surgery requires careful clinical consideration