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Using data obtained from the GEM study database, Brinkley et al

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To reduce bruising, you may want to avoid alcohol for 57 days before and the evening after your injection

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8.5 Geriatric Use JANUMET In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy and the higher risk of lactic acidosis