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Only 25 of 49 eligible articles contributed to the statistical analysis, and the abstract does not detail how the excluded studies differed.Lens takeawayThe paper supports a specific, low-certainty pooled signal and is easy to overstate if readers ignore the authors own caveats

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We examined the potential impact of antidepressant use on previous analyses by repeating the models excluding participants on antidepressants

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The drug enhances insulin production after a meal and reduces glucagon secretion, which lessens glucose production by the liver