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Abbreviations GLP-1: Glucagon-like peptide-1 GIP: Gastric inhibitory polypeptide NAFLD: Non-alcoholic fatty liver disease NASH: Non-alcoholic steatohepatitis LDL-C: Low-density lipoprotein cholesterol HDL-C: High-density lipoprotein- cholesterol SPPS: Solid-phase peptide synthesis PFR: Plug-flow reactor DMSO: Dimethyl sulfoxide HPLC: High-performance liquid chromatography EGP: Endogenous Glucose Production MPTP: 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine 6- OHDA: 6-Hydroxydopamine RCTs: Randomized clinical Trials ROS: Reactive oxygen species CSVD: Cerebral small vessel disease FFAs: Free fatty acids References American Diabetes Association

These social determinants of health create additional complexity in treatment implementation, particularly in underserved populations where obesity prevalence is often highest

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