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Domingues et al., 2022a)

These drugs don't just stimulate insulin productionthey actively block hormones that spike glucose levels

Most importantly, this protective phenotype appears to involve the following beneficial cellular adaptions: (i) enhanced metabolism of ethanol and acetaldehyde, (ii) suppression of lipogenic genes and induction of genes involved in fatty acid oxidation, and (iii) induction of the NRF2 antioxidant response and the AMPK metabolic signaling pathway

An extensive review of FDAs approach to the regulation of hand sanitizers during the pandemic as a whole is beyond the scope of this article