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Boxed warning: Risk of lactic acidosis Janumet and Janumet XR have a boxed warning for the risk of lactic acidosis

Performance may remain stable when the deficit is controlled, or decline when intake, glycogen, hydration and recovery fall too far

There is a precedent for concern If youve read the fine print, you already know that GLP1 medications carry a black box warning for medullary thyroid carcinoma, another rare neuroendocrine tumor

While animal and laboratory studies suggest some metabolic effects, human trials are too small and short-term to draw reliable conclusions, and no UK-licensed medicine contains moringa for weight management