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Linagliptin:The Mechanism: How Does It Work? DPP-4 inhibitors are based on incretin physiology. After a meal, the gut releases GLP-1, which enhances insulin secretion under hyperglycemic conditions and suppresses glucagon. However, GLP-1
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This altered gastrointestinal transit time can affect levothyroxine absorption in some patients, potentially reducing the amount of medication that reaches your bloodstream, which could worsen hypothyroid symptoms
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