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There is a suggestion from pooled data of increased rates of infections, specifically nasopharyngitis and urinary tract infections, which suggests a role for DPP-4 activity in normal immune surveillance, but whether this is clinically significant is still to be established

Contact your healthcare provider if muscle cramps are severe, frequent (daily or multiple times daily), or accompanied by muscle weakness, persistent pain, visible swelling, or dark-colored urine

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Engstrm A, Wintzell V, Melbye M, et al