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There is an additive effect of using a DPP-4 inhibitor alongside other agents that decrease blood glucose

BPC-157 is currently under USADA review, with the agency warning athletes explicitly that it could be added to the prohibited list at any time

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Diet Although pharmacotherapy remains the mainstay of treatment, adjunctive measures such as dietary modifications and nutritional supplementation can provide additional benefits, improving patients' overall health and quality of life [96]