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doi: 10.3389/fendo.2025.1734549 Received 28 October 2025 Revised 15 December 2025 Accepted 22 December 2025 Published 15 January 2026 Volume 16 - 2025 Edited by Toshiki Otoda, Nihon University School of Medicine, Japan Reviewed by Zaiyong Zheng, Southwest Medical University, China Akash Batta, Dayanand Medical College & Hospital, India Updates Copyright 2026 Alrasheed, Mostafa, Madkhali and Khairy

Janumet for Treatment of Diabetes - Full Prescribing Information Brand Name: Janumet Generic Name: Sitagliptin and Metformin Hydrochloride Contents: Indications and Usage Dosage and Administration Dosage Forms and Strengths Contraindications Warnings and Precautions Adverse Reactions Drug Interactions Use in Specific Populations Overdose Description Pharmacology Nonclinical Toxicology Clinical Studies How Supplied Patient Counseling Information Janumet, Sitagliptin and Metformin Hydrochloride, Patient Information (in plain English) WARNING: LACTIC ACIDOSIS Lactic acidosis is a rare, but serious complication that can occur due to metformin accumulation
These results were consistent across intraperitoneal and local administration 3
The pharmacokinetics of Zepbound mean that immediate effects are not expected
In extreme cases of intestinal blockage, the patient may require the use of an ileostomy bag or a colostomy bag for the rest of their life