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Johns Wort is a herb that is often used to treat depression, anxiety, hot flashes and sleep issues

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Environmental Microbiology 87 (10), e03153-20

Based on reports of upper respiratory tract infections, concerns have been raised about an increased risk of viral infections with DPP4 inhibition 66

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Do not stop your medication without consulting your healthcare provider unless you experience symptoms suggesting serious adverse events like pancreatitis or severe allergic reaction