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54,55 Functionally, these classes of drugs strongly and selectively inhibit reabsorption of glucose by renal SGLT-2, thereby resulting in glucosuria, and rearrangement of bodily hemodynamics, such as reduction of arterial blood pressure, depletion of interstitial fluid rather than blood volume that improves both preload and afterload in heart failure, and neuroendocrine factors like the RAAS system

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23,53,54 A thorough understanding of its structural framework and regulatory mechanisms is essential for advancing targeted therapeutic strategies aimed at SIRT1 activation in MASLD