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however, the precise pathophysiological mechanisms underlying this association remain unclear

The reduction in appetite is also assisted by peripheral mechanisms

Another meta-analysis (50 randomized controlled trials) performed to assess the association between DPP-4is and the risk of HF in T2D patients evidenced that vildagliptin appears to be the safest option with regard to the risk of HF, followed by saxagliptin, sitagliptin, linagliptin, and alogliptin [153]
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This large cohort of lower financial return programmes demands scrutiny to confirm that each serves a high unmet need and is differentiated or first in class, justifying its place in an increasingly resource-constrained portfolio
