Unlike the textbook JHR, which often lasts only 24 hours 1, Herx-like symptoms related to the treatment of gut dysbiosis or chronic low-grade bacterial, parasitic, or fungal infections may: Appear several days into treatment Last several days or even weeks Recur periodically, when treating infections that cycle between dormant and active phases This broader, experience-based perspective recognizes that not all Herx reactions follow the same predictable pattern, and many are milder but longer-lasting, especially when associated with gut pathogens
Many of these side effects are mild and go away as your body gets used to the medication
This low dose isnt meant to deliver dramatic weight loss or blood sugar control right away
Your doctor will be able to evaluate your medication regimen and provide guidance on exercise choices that wont interfere with your treatment
Examples of DPP4 inhibitors currently in clinical use include saxagliptin, vildagliptin, alogliptin, linagliptin, and sitagliptin
