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Diabetes, Obesity and Metabolism, 20(S1), 521

However, it still has a high sugar content and glycemic impact, which makes it less suitable for GLP-1 users looking for blood sugar-friendly alternatives

Schematic representation of the main pathophysiological mechanisms (lipotoxicity, oxidative stress, inflammation, and gut-liver axis) and therapies under evaluation directed at these processes, including THR- agonists, FGF-21 analogs, pan-PPAR modulators, GLP-1 RAs, and GLP-1/GIP combinations, in addition to conventional treatments such as SGLT-2 inhibitors, metformin, statins, and vitamin E

They are significantly higher in price than older, conventional diabetes treatments such as biguanides like metformin as Mounjaro and Ozempic are still on patent and are biologics, which tend to be more expensive given their complexity

These changes are not uniform, with the macular area typically exhibiting dilation while the periphery suffers from ischemic hypoxia [90, 91]

doi: 10.1111/dom.14775 [DOI] [PMC free article] [PubMed] [Google Scholar] 201.Gastaldelli A, Cusi K, Fernndez Land L, et al
