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[4] While observational and legacy data from the UKPDS study suggest potential cardiovascular benefits, metformin does not have proven cardiovascular outcome benefits in the same way as newer agents like GLP-1 receptor agonists or SGLT2 inhibitors

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Other neuroprotective mechanisms potentially involved in the treatment of cognitive disorders as well as cerebrovascular disease and epilepsy suggest that GLP-1RAs can enhance the viability of neurons and restore neurite outgrowth by stimulating neurotrophic factors, thus increasing subventricular zone progenitor cells, decreasing apoptosis and the level of pro-inflammatory factors, and strengthening the bloodbrain barrier 37

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Table 1 The summary of the neuroimmunological effects of omega-3 fatty acids on migraine

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