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Safety and efficacy of once-weekly exenatide compared with insulin glargine titrated to target in patients with type 2 diabetes over 84 weeks

The main difference is the focus on small, frequent meals and soft foods, neither of which is part of Mediterranean or keto diet guidelines

Once it reaches the bloodstream, it is directly inactivated within seconds by the enzyme dipeptidyl peptidase-4 (DPP-4), which cleaves the peptide between positions 8 and 9, converting it into the truncated form GLP-1(936) amide

Emerging preclinical evidence suggests GLP-1 may influence neuronal survival, synaptic plasticity, and neuroinflammationprocesses that are disrupted in neurodegenerative conditions

GLP-1 Injections: The Established Gold Standard For most patients in the UK, GLP-1 injections are the most recognisable form of this treatment

Moreover, these drugs promote the neogenesis of pancreatic cells by enhancing B cell proliferation and reducing apoptosis, contributing to the preservation and expansion of insulin-secreting cells (54)