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Collective data from major clinical trials have shown that treatment with a DPP-4i improves glycemic control by increasing insulin secretion from islet cells, lowering levels of HbA1c, reducing adipocyte size, and suppressing inflammation [47,48,49,50,51]

Preconception counseling should explicitly address the two-month washout and the importance of optimizing glycemic control through diet and, if needed, metformin (which has a longer safety dataset in pregnancy) during the periconceptional period

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Punpanich, W., Groome, M., Muhe, L., Qazi, S

Their findings directly support what the broader sports nutrition literature has established for years: Protein supplementation is recommended to help individuals meet daily intake goals of 1.2-2.0 g/kg/day