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You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

This inhibitor is chemically a cyanopyrrolidide compound which by itself is a substrate for DPP-4 with a slow dissociation rate which enables it to function as a competitive inhibitor of the enzyme (44)

The sodium-proton exchangers sNHE and NHE1 control plasma membrane hyperpolarization in mouse sperm

Cells from specific donors under 2 conditions were compared using matched-pair analysis