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Occasionally, the two drugs may be combined under careful physician supervision but they generally work differently: Januvia inhibits DPP-4 enzyme leading to increased levels of incretin hormones which stimulate insulin production, while Byetta mimics a hormone called GLP-1 that stimulates insulin secretion

Simplest solution: vitamin C in the morning, copper peptides in the evening

Supervising Physician: Dr

The psychological stress of managing a dramatic body transformation, dealing with GI side effects, adapting to new eating patterns, and the anxiety about potential side effects like hair loss, can itself trigger or worsen telogen effluvium