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People who have excess toxins known as ketones in the blood or urine a life-threatening condition known as diabetic ketoacidosis should not take Januvia or Janumet
For this reason, peptide use at Health by Design is determined on a case-by-case basis following a medical consultation
The dose increases usually happen every 30 days, but only if you are tolerating the current dose well
For example, they might use 2.4 mg for 12 weeks, then reduce to 1.0 mg for 4 weeks, then return to 2.4 mg
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