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Patients experienced symptoms such as shortness of breath, chest pain, fatigue, and heart murmurs

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Exendin-4 Ex-4 has been shown to enhance pancreatic beta-cell marker expression (pancreatic and duodenal homeobox 1 ( PDX-1 ), NK2 homeobox 2 ( NKX2.2) , ISL LIM homeobox 1 (I SL-1 ) and v-Maf musculoaponeurotic fibrosarcoma oncogene homolog A ( MAFA)) [35,36,37]

Starting with smaller doses might feel easier at first, but increasing to effective doses helps control appetite and improve metabolism