can you combine glp 1 and dpp4 Acute DPP-4 inhibition modulates vascular tone through GLP-1 independent pathways Frontiers | DPP-4 inhibitors for

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GLP-1 exerts anorexigenic effect mediating signals from the gut to the brain through vagal nerves (Gallwitz 2012)

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These changes may attenuate the inflammatory milieu that fuels AITD, in which adipose-derived cytokines such as TNF-, IL-6, and IL-17 are known to exacerbate the thyroidal immune attack [11,38]