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This DPP-4 inhibitor is contraindicated in this patient group on the basis of the respective cardiovascular safety study that has shown a significant increase of hospitalization for heart failure as secondary endpoint in the saxagliptin arm (63, 66)

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however, the potentiating effect of simultaneous GIPR antagonism and GLP-1R agonism evident in Gipr fl/fl control mice was absent in Gipr Syn/ mice (Fig

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