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Biochem Biophys Acta 1863:24222435 Lukic I, Ivkovic S, Mitic M, Adzic M (2022) Tryptophan metabolites in depression: modulation by gut microbiota

J., Yang, L., Deng, L

A treatment paradigm shift is recommended in which combination therapy is initiated with diet/exercise, metformin (which has antiatherogenic effects and improves hepatic insulin sensitivity), a TZD (which improves insulin sensitivity and preserves -cell function with proven durability), and a GLP-1 analog (which improves , -cell function and promotes weight loss) or a DPP-IV inhibitor (Fig