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There is no proven risk of this happening in people

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In both cases, the mechanism was suggested to involve the insulin receptor and downstream signaling pathways including protein kinase B (Akt), although how DPP-4 might influence this process was not clarified

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Abstract Due to their cardiovascular protective effect, glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodium-glucose cotransporter-2 inhibitors (SGLT2is) represent breakthrough therapies for type 2 diabetes mellitus (T2DM)