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If adding pioglitazone to insulin, meglitinide or sulfonylurea treatment, consider whether a dose reduction of those agents is needed to reduce risk of hypoglycaemia

Kao et al., 2018)

It is important to consult your healthcare provider about any side effects before resuming injections

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Endurance training in humans leads to fiber type-specific increases in levels of peroxisome proliferator-activated receptor-gamma coactivator-1 and peroxisome proliferator-activated receptor-alpha in skeletal muscle