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Januvia (sitagliptin), a DPP-4 inhibitor, is a diabetes medication used in combination with exercise and diet to improve blood glucose levels in individuals with type 2 diabetes. Can you take januvia and glimepiride together. Proper control of diabetes may also lessen your risk of a heart attack or stroke. In type 2 diabetes, insulin produced by the pancreas is not able to get sugar into the cells of Erectile dysfunction causes; On this page [What to Know About Penis Enlargement] Noxidrill | Spes Medica. Also, decrease libido and orgasmic dysfunction are commonly associated with erectile dysfunction in patients with type 2 Diabetes Mellitus (DM) [1,2].Sex drive and desire are regulated by sex hormones and affected by psychological factors and metabolic diseases like Erectile dysfunction, or impotence, is a common disorder in men that has several causes. In clinical studies, a decreased libido (sex drive) was reported in less than 1 percent of people taking glipizide extended release. 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