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There is no established washout protocol for switching between these drugs yet

These drugs include insulin secretagogues (such as sulfonylureas) insulin, GLP 1 receptor agonists (such as exenatide and liraglutide), DPP 4 inhibitors (such as sitagliptin), oral contraceptives, warfarin, CYP inducers (like rifampin) and CYP inhibitors (such as ketoconazole)

These medications provide powerful support for patients with persistent hunger, insulin resistance, prediabetes, or metabolic syndrome

Dienogest may not be suitable if you: Are pregnant or breastfeeding Have a history of blood clots Have severe liver disease Have hormone sensitive cancers Have certain unexplained vaginal bleeding symptoms A doctor will assess whether this treatment is appropriate for you before issuing a prescription