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Presented at: society for endocrinology 1921 Nov 2018 Glasgow, UK

Adverse Effects and Black Box Warnings Side effects most commonly seen in patients taking Meglitinides include (14): Weight gain Whipple triad Hypoglycemia Symptoms of hypoglycemia Shakiness Increased hunger Sweating Fatigue Irritability Anxiety Lightheadedness Heart palpitations Confusion More severe Changes in vision or speech Seizures Loss of consciousness Coma Hypoglycemia 30mL/min/1.73

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Some of the formulas available to help treat dogs with IBD include: Novel proteins (avoiding typical chicken and beef formulations) Foods that are more easily digestible High fiber Hydrolyzed protein formulas (protein that has been broken down into small components is less likely to cause adverse food reactions in some dogs) B12 Injections B12 is an essential vitamin for dogs and people

Vitamin B12 is an essential nutrient that supports energy production, brain function, and red blood cell formation