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Because this mechanism is glucose-dependent (only activated when blood glucose levels are elevated), DPP-4 inhibitors do not carry the risk of hypoglycemia, unlike traditional insulin secretagogues

In unregulated settings, which remain common in India, the risks are substantially higher, and the documented adverse events are serious

These seemingly minor details - such as clearly labeled dosage instructions, container purity, and absence of hidden fillers - contribute to the positive feedback loop, making users feel like they're part of a trustworthy brand ecosystem

The messaging appeals to a cultural affinity for phytotherapy and natural medicine but wraps it in the clothing of official pharmaceutical oversight

1b, Supplementary Fig