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The study used data on more than 145,000 people treated with GLP-1 agonists, and almost 292,000 people treated with DPP4 inhibitors.The researchers followed up participants after a mean of 3.9 years for the GLP-1 group and 5.4 years for the DPP4 group

hence, it can be recommended as adjuvant therapy alongside MTX to counteract its cytotoxic adverse effects