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Ghrelin Function: Ghrelin, often referred to as the hunger hormone, is produced by the stomach and stimulates appetite

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Rotating injection sites prevents these reactions from accumulating or worsening

[See Dosage and Administration (2.2), Contraindications (4), Warnings and Precautions (5.1) and Clinical Pharmacology (12.3).] Sitagliptin Sitagliptin is excreted by the kidney, and sitagliptin exposure is increased in patients with renal impairment