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From a safety perspective, a key feature of DPP-4 inhibitors is a low risk for hypoglycemia

In this context, after 8 weeks of Spirulina supplementation, diabetic participants showed significant reductions in fasting glucose, insulin, total cholesterol, LDL cholesterol, and triglyceride levels, along with a modest increase in HDL cholesterol

[DOI] [PMC free article] [PubMed] [Google Scholar] [11].Chalupsky K, Cai H, Endothelial dihydrofolate reductase: critical for nitric oxide bioavailability and role in angiotensin II uncoupling of endothelial nitric oxide synthase

A fatty alcohol (the non-drying type with a long oil loving chain of 22 carbon atoms) that is used to increase the viscosity of the formula and it also helps the oily and the watery parts to stay nicely mixed together (called emulsion stabilizing )