| this could be a side effect of taking Actos
MONITOR:
Grapefruit juice may increase the plasma concentrations of some orally administered drugs that are substrates of the CYP450 3A4 isoenzyme. The proposed mechanism is inhibition of CYP450 3A4-mediated first-pass metabolism in the gut wall by certain compounds present in grapefruits. The extent and clinical significance are unknown. Moreover, pharmacokinetic alterations associated with interactions involving grapefruit juice are often subject to a high degree of interpatient variability.
MANAGEMENT:
Patients who regularly consume grapefruits and grapefruit juice should be monitored for adverse effects and altered plasma concentrations of drugs that are metabolized by CYP450 3A4. Grapefruits and grapefruit juice should be avoided if an interaction is suspected. Orange juice is not expected to interact with these drugs.
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Byetta 5mcg twice a day
Sugar busters life style
Exercise = cardio and running after twins Ben & Josh
"Oh for Pete's sake" -Ben "Let me think" - Josh
Ok Wildcards watch your six.
You too will be assimilated! You will become one with the Borg. You will all become one with the borg."
To lose this war means more than defeat. To surrender is to never go home. All of us must rise to the call above and beyond". Lt Col TC McQueen  | 
