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For example, better outcomes can be achieved with a combination of the DPP-4 inhibitor and metformin or TZD pioglitazone, and insulin and metformin, glyburide, and pioglitazone (Cersosimo et al., 2018)

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The drug is also approved to reduce the risk of major cardiovascular events, including heart attacks and strokes, in adults with obesity and established heart disease