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Additionally, some patients may experience dizziness potentially as part of an autonomic response to gastrointestinal discomfort or nausea, though this mechanism is not well-established in clinical literature

Another population-based study in South Korea comparing the use of DPP4-inhibitors with other oral glucose lowering agents ( sulfonylurea, thiazolidinedione , and metformin ) showed that the overall risk of diabetic retinopathy events was not increased (Kim et al., 2018)

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Given the widespread use of GLP-1 medications for weight management and diabetes, the findings could have significant public health implications