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Botanical supplement support in the same general category is what many of these people are realistically evaluating

The study was supported by the UTSW Clinical and Translational Science Award, the National Institutes of Health (1U54TR00236), the Texas Health Resource Clinical Scholar program, and the UTSW Nutrition & Obesity Research Center (NORC)
These medications help regulate blood sugar levels, promote weight loss, and are primarily used for conditions such as type 2 diabetes and obesity

And they come with a catch most people don't fully anticipate: when you stop, the weight usually comes back

Therefore, although DPP-4 inhibition reduces both fasting and postprandial glucose and HbA 1c levels, the effects are weaker than for GLP-1 receptor agonists, and they do not exhibit a body weight reduction effect, although they are body weight neutral
