& Ten Dijke, P
However, side effects can occur, and long-term safety data are limited
Cost-effectiveness represents another consideration
P.g disrupts gut linoleic acid (LA) metabolism, activates Th17, suppresses Tregs, and exacerbates colitis, and these effects could be reversed by LA supplementation ( P.g , intestinal Candida albicans ( C.a ) taken in by the mucosal immune system induces pathobiont-reactive Th17 cells, while these Th17 cells migrate from the gut to the mouth upon oral infection, thereby inducing Th17 responses in the tongue during oropharyngeal candidiasis ( In addition to the aforementioned IL-17, other pro-inflammatory cytokines, such as IL-1, IL-6, and TNF-, also play important roles in the immune interaction between the oral-gut axis and systemic diseases
However, in vitro experiments, metformin did not directly inhibit DPP4 activity (Hinke et al., 2002)
It steps in to neutralize free radicals , converting them into harmless molecules that can be safely eliminated from the body