95 percent confidence interval, 0.59 to 1.12) compared with use of DPP-4i
Contact your healthcare provider promptly if you notice signs of dehydration or kidney problems , including significantly decreased urination, dark-colored urine, persistent dizziness, extreme fatigue, or confusion
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However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future