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Heres the step-by-step: Use something gentle and non-drying

NICE Guidelines on Using DPP-4 Inhibitors in Type 2 Diabetes NICE NG28 recommends DPP-4 inhibitors as second- or third-line therapy alongside metformin, particularly when hypoglycaemia risk or weight gain is a concern, but prioritises SGLT-2 inhibitors in patients with cardiovascular disease or chronic kidney disease

323 Elevated IL-6 levels can reduce insulin signaling and contribute to lipid accumulation and hepatic fibrosis

It makes me so angry that no one caught it before