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The diagnostic process typically begins with clinical suspicion, often based on a rapidly enlarging, painful mass
Less common but more serious possible side effects include an allergic reaction, pancreatitis, gallbladder problems, vision changes, and kidney damage
In the study of patients receiving Januvia as add-on combination therapy with metformin, there were no adverse reactions reported regardless of investigator assessment of causality in 5% of patients and more commonly than in patients given placebo
Nicolau J, Nadal A, Sanchs P, Pujol A, Masmiquel L, Nadal C
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