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Studies found it doesnt reduce the effectiveness of the combined pill to a clinically meaningful degree, so no extra precautions are needed

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Fibrates and TZDs have both shown beneficial cardiovascular effects in clinical trials 3,10,11 , which together with their complementary action on glucose and lipid metabolism spurred the development of PPAR/ dual agonists (Glitazars) for the treatment of type 2 diabetes (T2D) and dyslipidaemia 1