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Reacciones en el sitio de inyeccin: Enrojecimiento, picazn o molestias leves en el sitio de inyeccin ocurren en aproximadamente 2-5% de los pacientes

Can occur with Januvia: joint pain skin reactions Can occur with metformin: lactic acidosis (too much lactic acid in your body that can damage your liver) low levels of vitamin B-12, which can lead to anemia (low levels of red blood cells) in rare cases Can occur with both Januvia and metformin when used with other diabetes drugs: hypoglycemia (low blood sugar) Costs Januvia is a brand-name drug