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A combination of metformin, a biguanide antihyperglycemic agent, and vitamin D (cholecalciferol). This combination has shown synergistic effects in preclinical studies for colorectal neoplasia prevention and management of type 2 diabetes mellitus complications. The synergistic mechanisms involve metformin's action through the AMPK/mTOR pathway and vitamin D's effects via the vitamin D receptor/β-catenin pathway.
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