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In severe cases, dehydration or hypoglycemia (especially if used with certain drugs like insulin or sulfonylureas) can occur

These findings highlight how diabetes influences sperm quality via epigenetic mechanisms and provide insights into the intergenerational transmission of diabetes-related fertility issues
Weight loss velocity naturally slows after month six
Importantly Exendin-4 has a mutation that blocks its cleavage extending its half-life to 2.4 h

Lipids and fatty acids also stimulate incretin secretion via fatty acid receptors such as G-protein-coupled receptor (GPR) 40 and GPR119 [52, 53]

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