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Collaboration is key : Work closely with all your doctors to make the safest and most informed decisions regarding your medication use, fertility treatment, and any pregnancy plans

There have also been anecdotal reports of insomnia as a side effect, although the drugs manufacturer, Novo Nordisk, does not list it as a known adverse effect

This doesn't mean short-term use failsit means the medication was doing the heavy lifting, and transitioning off requires locked-in dietary and exercise changes to sustain results

Metformin, SLGT-2 inhibitors (examples include empagliflozin, dapagliflozin), GLP-1 receptor agonists (examples include semaglutide, liraglutide), and insulin are generally safe to take with grapefruit

Para manejar esta situacin, la Agencia Espaola de Medicamentos y Productos Sanitarios (AEMPS) ha emitido unas recomendaciones para los prescriptores (ver nota informativa completa): Priorizar el uso de estos tratamientos de acuerdo con las condiciones autorizadas (control glucmico de pacientes con DM2)