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The combination can significantly reduce appetite and caloric intake, which, if not carefully managed, may lead to dehydration, fatigue, or low blood pressure particularly in individuals also taking antihypertensive medications

Adipokines: adiponectin and leptin and their relationship with DPP-4 Adiponectin, another DPP-4 substrate hormone, is related to energy metabolism and is primarily secreted by brown adipose tissue and bone marrow adipose tissue [84]
The SELECT trial , published in the New England Journal of Medicine and conducted across 804 sites in 41 countries with 17,604 participants,

Neuroscience 226 : 388-96

These include 18: Reduced body weight and visceral fat Improved blood sugar control Lower risk of major cardiovascular events such as heart attack and stroke While some of these effects may be partially drug-specific, a significant portion appears to be linked to weight loss and improvements in metabolic function

Efficacy and safety of LixiLan, a titratable fixed-ratio combination of lixisenatide and insulin glargine, versus insulin glargine in type 2 diabetes inadequately controlled on metformin monotherapy: the LixiLan Proof-of-Concept Randomized Trial
