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Description
Diabetes Res Clin Pract (2011) 93:e745
[PMID: 39681363]

On one hand, the cardiovascular protection afforded by SGLT2is seems to result from their beneficial hemodynamic effects, including improvement in ventricular preload (secondary to natriuresis and osmotic diuresis) and afterload (through blood pressure reduction), but also from improvement of cardiac metabolism (through the switch from utilization of glucose to ketones), inhibition of the myocardial Na + /H + exchanger, reduction of cardiac fibrosis and necrosis, reduction of proinflammatory adipokines derived from epicardial and perivascular fat, and stimulation of erythropoiesis (which can facilitate the release of oxygen to ischemic tissues) [1, 4, 14,15,16]

Commercially Available GLP- 1 Receptors Agonists for the Management of T2DM Exenatide- Short Acting Agents The first GLP- 1 receptor agonist used in clinical practice was exenatide, which was injected subcutaneously twice a day
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In this study, butyrate supplementation did not increase butyrate levels either in feces or plasma, but it improved both peripheral and hepatic insulin sensitivity in individuals without metabolic syndrome

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