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We measured the treatment effect using risk ratios (RR) for dichotomous outcomes and mean differences (MD) with 95 percent confidence intervals (CI) for continuous outcomes

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The injection itself, or the medication's formulation, may trigger mild inflammation, oedema, or bruising

Practical Application Green tea (EGCG): Catechins show DPP-4 inhibitory activity in vitro Turmeric (curcumin): Demonstrates competitive DPP-4 inhibition Berberine: Reduces DPP-4 expression in laboratory studies Cinnamon extract: Shows modest DPP-4 inhibitory effects Ginger: Contains compounds with DPP-4 inhibitory potential Olive leaf extract: Polyphenols demonstrate DPP-4 modulation Green tea: 3-4 cups daily, brewed at 160-180F for 2-3 minutes Turmeric: 500-1000mg curcumin with black pepper (enhances absorption) Cinnamon: 1-2 teaspoons daily, preferably Ceylon variety Berberine: 500mg 2-3x daily (consult healthcare provider first) Important: Natural DPP-4 inhibition is modest compared to pharmaceuticals

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