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Grapefruit juice: avoid taking Invokana with grapefruit juice because it can increase the risk of serious side effects from Invokana such as ketoacidosis
If experiencing severe side effects, stay at current dose longer your doctor can slow titration if needed
These medications work by reducing inflammation and congestion in the nasal passages, but they can also dry out the nasal lining, making it more prone to irritation and bleeding
Bruiners N, Dutta NK, Guerrini V, Salamon H, Yamaguchi KD, Karakousis PC, et al
Because the unusual bond formed through the gamma-carboxyl group of glutamate can only be hydrolyzed by one enzyme, gamma-glutamyltranspeptidase, which is present only on the external surfaces of certain cells
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