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By inhibiting DPP-4, these drugs prolong incretin activity, leading to: Glucose-dependent insulin secretion from beta cells Suppression of glucagon from alpha cells Improved postprandial blood glucose control This mechanism does not stimulate insulin release in absence of glucose, making hypoglycemia rare

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Hair tests: Primarily laboratory-based, useful for detecting possible use over a longer timeframe

Heres how to vet a compounding pharmacy: Check for accreditation : Look for certification from the Pharmacy Compounding Accreditation Board

Regular follow-up appointments are essential during the initial months of treatment

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