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Mechanistic studies suggest that the potential direct cardiovascular benefits of SGLT2i include augmentation of signal transducer and activator of transcription 3 (STAT3), inhibition of sodium hydrogen exchange (sodium-hydrogen antiporter 1 [NHE-1]), improved mitochondrial metabolism, modulation of natriuretic peptides, improved vascular stiffness and autonomic tone, reduction of inflammation, and improved cardiac energetics

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Wollenhaupt-Aguiar B, Kapczinski F, Pfaffenseller B

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Knowing this before you start treatment can help you manage your expectations and avoid getting discouraged if you dont see results right away