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Meiqun et al

However, the combination of GLP-1 receptor agonists with DPP-4 inhibitors have not demonstrated clinically significant additional benefits [116]

That is another reason medical supervision matters

Physiology and Pharmacology of DPP-4 in Glucose Homeostasis and the Treatment of Type 2 Diabetes

[11] To avoid this, always ensure that the final admixture is approximately isotonic, typically achieved by the drug or other diluents added to the bacteriostatic water, before injecting into the bloodstream