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Description
When applicable, clinical studies were briefly appraised based on design, sample size, and primary outcomes to provide a balanced interpretation of the available evidence

This led to the demonstration that DPP-4 inhibitors may protect the endogenous molecule [14] and to the development of clinically useful DPP-4 inhibitors, which have found clinical use worldwide

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It does not contain pharmaceutical GLP-1 receptor agonists or synthetic hormones
Tirzepatide is not insulin
