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Concomitant use of dipeptidyl-peptidase-4 inhibitors (DPP-4) is not recommended because they have a similar basis of action

Nutritional and endocrine-metabolic aberrations in women with functional hypothalamic amenorrhea

Methylglyoxal and insulin resistance in berberine-treated type 2 diabetic patients

However, they also appear to affect the neural circuits involved in reward and craving
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Mechanisms of insulin action and insulin resistance
