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JANUVIA (jah-NEW-vee-ah) is a once-daily prescription pill that, along with diet and exercise, helps lower blood sugar levels in adults with type 2 diabetes. Januvia and metformin are both effective drugs that are used to help manage blood sugar levels in patients with type 2 diabetes. Serious side effects with Januvia may include:. However, there is always the risk for side effects with any medication. Half doses might be a good solution to that problem. These medications help keep your insulin levels stable and reduce the amount of glucose (blood sugar) that your body. Although both drugs can cause serious side effects, there are fewer side effects associated with Januvia and the drug is better tolerated than metformin This pill can be split with a pill cutter and taken in half doses with no reprecussions. Because Januvia does not Medication Guide. Read More While in the hospital for heart related problems my doctors found that I had the D word. 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