“…We thank Dr. Patoulias for their interest in our review article that assessed the complex interplay between medications for diabetes and the risk of HCC. [1,2] In his comments to our study, he raises an important issue related to a sort of positive "off-target activity" of novel drugs used in the management of type 2 diabetes, such as sodium-glucose cotransporter-2 (SGLT-2) inhibitors and glucagon-like peptide-1 receptor agonists (GLP-1RAs).…”