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Its a DPP-4 (dipeptidyl peptidase-4) inhibitor, meaning it blocks the enzyme DPP-4, which normally breaks down the bodys GLP-1 and GIP hormones

[DOI] [PubMed] [Google Scholar] 27.Au H.C.T., Zheng Y.J., Le G.H., Wong S., Teopiz K.M., Kwan A.T.H., Gill H., Badulescu S., Kyle V., Rosenblat J.D., et al

Zhang S, Riccardi C, Kamen D, Reilly J, Mattila J, Bak H, Xiao H, Li N (2022a) Identification of the specific causes of polysorbate 20 degradation in monoclonal antibody formulations containing multiple lipases

ALC may increase energy availability in the brain, and animal studies show that it can boost the release of acetylcholine