Neuroprotective, antioxidant, and anti-inflammatory peptides preventing progression most valuable
Within the first week or two, some individuals may notice slight changes, such as feeling fuller more quickly or a mild reduction in appetite, but these effects typically become more pronounced as the dose is gradually increased
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By understanding the differences in administration methods, dosing schedules, effectiveness, side effects, costs, and patient preferences, patients and healthcare providers can make informed decisions to optimize diabetes and weight management
DPP-4 Inhibitors Mechanism of action Competitive inhibition of dipeptidyl-peptidase 4 slows degradation of endogenous incretins (GLP-1, GIP) Glucose-dependent insulin secretion Post-prandial glucagon release No direct effect on weight or insulin sensitivity Glycaemic efficacy Advantages Weight-neutral useful when metformin + SU cause weight concern Low hypoglycaemia risk (incretin-dependent action) Oral, generally once-daily