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These findings suggest that TZP mitigates T2DM-associated hepatic injury by favoring mitochondrial fusion, alleviating oxidative stress, and protecting tissue integrity

They aren't studying the same thing at all

Clinical trials (ten studies, 419 participants) using doses from 400 mg to 10 g over 21 days to 20 months show consistent reductions in fasting glucose, post-meal glucose, and HbA1c. In diabetic animal studies, gymnema increased proglucagon gene expression (a precursor for GLP-1) and insulin gene activity, suggesting it may help amplify endogenous GLP-1 production

GLP-1 Patches