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Toxins 13:314

The analysis excludes enrollees in non-individual MA-PDs (including Special Needs Plans) and enrollees in employer-group only PDPs and MA-PDs plans for whom plan premium and benefits data are unavailable

& Finsen, B

Practical Application Reduce processed foods: Minimize refined carbs, trans fats, excessive omega-6 Emphasize whole foods: Vegetables, fruits, whole grains, lean proteins Stress management: Meditation, yoga, deep breathing reduces inflammatory signaling Adequate vitamin D: Low vitamin D correlates with elevated DPP-4 Colorful vegetables: Rich in polyphenols that modulate inflammation Berries: High anthocyanin content supports metabolic health Nuts and seeds: Provide healthy fats and anti-inflammatory compounds Green tea: Dual benefit of DPP-4 inhibition and anti-inflammatory effects Combining Strategies: A Comprehensive DPP-4 Management Plan Individual strategies provide modest DPP-4 modulation

*Hormonal birth control was defined using claims for oral contraceptives, the patch, vaginal ring, implant, hormonal intrauterine device, and injectable medroxyprogesterone acetate in the two years before diagnosis