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Examples Canagliflozin (Invokana) Dosage Initial: 100 mg once daily before the first meal of the day Maximum: 300 mg once daily Dapagliflozin (Farxiga) Dosage Initial: 510 mg once daily Maximum: 10 mg once daily Empagliflozin (Jardiance) Dosage Initial: 10 mg once daily Maximum: 25 mg once daily Possible side effects include: Urinary tract infections Genital fungal (mycotic) infections (ie, Candida infection) Hypovolemia (low extracellular fluid) and hypotension (low blood pressure) Acute kidney injury, possibly as a result of volume depletion (limited and contradictory evidence) Diabetic ketoacidosis (rare) Osteoporosis and bone fractures Dipeptidyl peptidase-IV (DPP-4) inhibitors Primary mechanism(s) of action Enhance incretin signaling via inhibition of the enzyme dipeptidyl peptidase-IV (DPP-4), which breaks down GLP-1 and glucose-dependent insulinotropic polypeptide (GIP)

GLP-1 receptor agonists enhance glucose-dependent insulin secretion, meaning they help your pancreas release more insulin when blood sugar rises after meals

Bio-identical HRT 20 minutes Book your bioidentical hormone replacement therapy (BHRT) consultation now and take the first step towards achieving hormone balance and wellness

First, rapid weight loss alters bile composition, which increases cholesterol supersaturation

While these two medications work through very different pathways in the body, they are sometimes used together to provide a multi-layered approach to weight management