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The evidence base for metformin's effects on immune and inflammatory pathways includes observational cohort data in human adults. Kolnes 2026 reported a dose of 500 mg. This study assessed changes in growth differentiation factor 15 (GDF15) and fibroblast growth factor 21 (FGF21), which are cytokines linked to metabolic stress responses. The design allows for the observation of acute or short-term mechanistic changes induced by metformin in a human setting. This provides direct human evidence on specific inflammatory and stress-response mediators rather than clinical endpoints.

Evidence grade: exploratory

Contradiction status: none

Publication: 5f566366-fb20-4402-ba24-c1117573f97f

Provenance: Derivation Web chain

Citation Support

  • source_1 Zaveri 2026
  • source_2 Wu 2026
  • source_3 Hong 2026
  • source_4 Lee 2026
  • source_5 Seo 2026

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