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Melatonin is an over-the-counter supplement that, while not FDA-approved, has shown clinical benefit in small RCTs using noninvasive endpoints such as liver enzymes, imaging-based fatty liver grading, and metabolic parameters

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From a mechanistic standpoint, this dual action explains why the same class can be used for both diabetes and weight management

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One additional note worth having: Hims and Hers has faced significant legal and regulatory pressure around compounded GLP-1 offerings, which has become part of the broader 2026 market context

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Among SUs, KDIGO prefers glipizide for patients under dialysis, since it is largely metabolized in the liver and poses a lower hypoglycemic risk compared to other SUs [69]

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