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Second, DPP4 degrades both GLP-1 and gastric inhibitory polypeptide (GIP), yet metformin treatment in humans only increases the GLP-1 concentration, whereas DPP4 inhibitors increase both GLP-1 and GIP concentrations [60, 61]

GLP-1RAs have transformed the treatment landscape for diabetes and obesity, making them promising candidates for MASLD

In 2019, with a clear mission to tackle serious diseases, Gilead outlined a long-term plan to advance 10 potential transformative therapies by 2030

But telehealth companies like Henry Meds make obtaining them easy and much more affordable

Further advantages (see Box 2 ) have led the American Diabetes Association (ADA) to recommend incretin mimetics as the first-choice injectable glucose-lowering therapy for type 2 diabetes, ahead of insulin (ADA, 2026)

The above-mentioned guidelines are mainly based on drug efficacy and safety and do not necessarily address the various pathophysiology defects leading to hyperglycemia and increased risk for CVD in these patients
