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Abstract Drugs that inhibit dipeptidyl peptidase-4 (DPP-4) are conventionally regarded as incretin-based agents that signal through the glucagon-like peptide-1 (GLP-1) receptor

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Choline and methionine support hepatic function, but if liver enzyme levels (ALT, AST) are elevated, your doctor may recommend baseline labs, lower initial doses, or concurrent dietary modifications (reduced fructose, increased omega-3 intake) before introducing the injections