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Description
14 Two therapeutic strategies currently exist to overcome the short half-life of incretin hormones and pharmacologically augment the incretin effect: 1) inject GLP-1 receptor agonists that are resistant to degradation by the DPP-4 enzyme and 2) orally administer DPP-4 inhibitors that delay the enzymatic degradation of naturally secreted incretin hormones ( Figure 2 )

Of the slow-digesting nutrients, dietary fat has the added benefit of triggering the release of bile, which leads to more robust GLP-1 secretion
The six inhibitors are classified into three types based on their different binding to the active site of the DPP-4 enzyme

Jens Juul Holst, Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark

Eat ground meat instead of, for example, a piece of steak

The former were not designed with primary ophthalmic endpoints, leading to potential detection bias and non-standardized ocular assessments
