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Some foundational work is available primarily in Russian-language sources or in journals with limited international reach, complicating independent scrutiny and formal meta-analysis

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DPP-4 inhibitors represent an alternative incretin-based approach and include: Sitagliptin (Januvia) Linagliptin (Trajenta) Saxagliptin (Onglyza) Alogliptin (Vipidia) Vildagliptin (Galvus) These oral medications work by preventing the breakdown of natural incretins rather than directly mimicking them

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