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The severity of HS is classified into three stages using the Hurley staging system

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This concept eventually led to drugs like sitagliptin (approved 2006), but those would generally have less potent effects than direct GLP-1 agonists since GLP-1 levels only double or triple on DPP-4 inhibitors (and those drugs rely on some residual pancreatic function and meal stimulation) ( [59] )

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The HRT and GLP-1 combination guide covers the interaction between these treatments

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doi:10.1038/s41370-023-00597-z

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