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The short answer: current data suggest they do not, but gaps remain
Clinical Effectiveness and Safety of Once-Weekly GLP-1 Receptor Agonist Dulaglutide as Add-On to Metformin or Metformin Plus Insulin Secretagogues in Obesity and Type 2 Diabetes
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Researchers attribute these benefits to mechanisms that go well beyond glucose control, including reduced glomerular stress, lower inflammation, and protection against the oxidative damage that drives kidney decline [5]
PMC 384722
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