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Your body produces two hormones called GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) that regulate blood sugar, appetite, and fat metabolism
[DOI] [PMC free article] [PubMed] [Google Scholar] 101.Stupnisek M., Franjic S., Drmic D., Hrelec M., Kolenc D., Radic B., Bojic D., Vcev A., Seiwerth S., Sikiric P

These side effects typically subside shortly after the treatment

The study was modified after randomization and treatment of 117 patients to require that all patients receive folic acid 350 mcg to 1000 mcg daily beginning 1 to 3 weeks prior to the first dose of pemetrexed and continuing until 1 to 3 weeks after the last dose, vitamin B12 1000 mcg intramuscularly 1 to 3 weeks prior to first dose of pemetrexed and every 9 weeks thereafter, and dexamethasone 4 mg orally, twice daily, for 3 days starting the day prior to each pemetrexed dose
