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There have been postmarketing reports of acute pancreatitis, including fatal and nonfatal hemorrhagic or necrotizing pancreatitis, in patients taking JANUVIA

References Langendonk JG, Balwani M, Anderson KE, Bonkovsky HL, Anstey AV, Bissell DM, et al

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Formulation flexibility: If you have allergies or prefer a different form of medication (like a pill instead of an injection), a compounding pharmacy can change the ingredients or delivery method