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The actual effect of the medication is nearly the same

Safe alternatives include metformin, SGLT2 inhibitors (empagliflozin, dapagliflozin), DPP-4 inhibitors (sitagliptin, linagliptin), and exenatide immediate-release or lixisenatide, which do not carry thyroid cancer warnings

This enzyme has been increasingly recognized for its multifaceted role in various physiological processes, extending beyond its initially known functions in insulin signaling, inflammation, and energy metabolism [1]

Effect of the dipeptidyl peptidase-4 inhibitor sitagliptin as monotherapy on glycemic control in patients with type 2 diabetes