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The JANUMET XR 50 mg/500 mg tablet contains the additional inactive ingredient microcrystalline cellulose

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If you have gastrointestinal side effects, especially nausea, the following can help alleviate the symptoms: Eat small, low-fat meals Avoid greasy and high-sugar food items Do not lie down immediately after a meal and go for a walk Stay hydrated with electrolytes throughout the day Use ginger for immediate nausea relief Ask your doctor about anti-nausea meds Moreover, severe vomiting and abdominal pain (with or without vomiting) must not be ignored and should be reported to the doctor immediately