MDA, a measure of oxidative stress, had a positive trend that became significant following sensitivity analysis that eliminated a significant outlier (SMD = -0.73; 95% CI: -1.07 to -0.39 vs. insulin).
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Inflammatory biomarker response to GLP-1 receptor agonists versus other glucose-lowering medications in patients with type 2 diabetes: a systematic review and meta-analysis.
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The sentences
Said 2018 was a substantial outlier, but its removal maintained a highly significant pooled benefit (SMD = -1.08; 95% CI: -1.41 to -0.74) while reducing heterogeneity to moderate levels (I2 = 40.7%).