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257 Disruption of the colonic barrier is the most common pathological change in animal models of UC, and studies have shown that the SGLT2 inhibitor empagliflozin can significantly increase the expression of SIRT-1, suppress the levels of PI3K and AKT, and increase the levels of tight junction proteins (claudin-1 and occludin), thereby improving the integrity of the colonic barrier

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In this context, GLP-1 agonists represent a potentially valuable tool within a multimodal treatment approach, particularly for patients who have not achieved adequate weight loss through lifestyle modification alone