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Diabetes Care 30:19791987 Ahren B, Pacini G, Foley JE, Schweizer A (2005) Improved meal-related beta-cell function and insulin sensitivity by the dipeptidyl peptidase-IV inhibitor vildagliptin in metformin-treated patients with type 2 diabetes over 1 year

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This bidirectional axis integrates neural, immune, endocrine, and metabolic pathways, enabling gut microbes to influence mood, cognition, and behavior