Common terminal sugars are N-acetylneuraminic acid (sialic acid) and fucose with sulfation of these terminal sugars providing many combinations (Lamblin et al., 1984
Still, the exact processes behind these effects are poorly understood, and studies in humans are limited
The carcinogenic risk of GLP-1RAs remains controversial: large-scale cohort studies have not identified an association with pancreatic cancer 36 , but animal experiments suggest that long-term high-dose use may induce ductal hyperplasia 37,38
[1] [3] Patients with diabetes should maintain routine eye care, as rapid glycemic improvement may transiently affect diabetic retinopathy
Ethics declarations Competing interests G
While additional research is needed to identify specific dietary patterns that maximize treatment efficacy, a patient-centered approach should take into account the individual's food and cultural preferences, socioeconomic barriers to healthy food access and diet quality