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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] )

It also inhibits the breakdown of cartilage, a flexible tissue that protects the ends of your bones in joints ( A study in 100 people over the age of 50 found that treatment with a supplement containing 1,200 mg of MSM for 12 weeks decreased pain, stiffness and swelling in the joints, compared to a placebo ( The group receiving the supplement also reported improved overall quality of life and less difficulty walking and getting out of bed ( Another study in 32 people with lower back pain found that taking a glucosamine supplement containing MSM significantly reduced lumbar stiffness and pain upon movement, plus greatly increased quality of life ( Summary Studies have shown that MSM is effective in reducing joint pain, stiffness and swelling