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JARDIANCE can also cause increased ketones in the blood (ketoacidosis), serious urinary tract infection, acute kidney injury and impairment in renal function, low blood glucose when used with insulin or insulin secretagogues (e.g., sulfonylurea, a medication used to treat type 2 diabetes), vaginal yeast infections and yeast infections of the penis, and increased cholesterol

The medication may have been exposed to temperatures well above 86 degrees Fahrenheit during shipping, especially in summer months

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A practical starting plan looks like this: choose one reliable breakfast, one reliable lunch, two to three easy protein options, and a few backup foods for rough days