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Their primary mechanisms of action include: Enhancing insulin secretion from pancreatic beta cells in a glucose-dependent manner, which helps lower blood glucose levels without causing hypoglycaemia when used alone Suppressing glucagon release from pancreatic alpha cells, reducing hepatic glucose production Slowing gastric emptying , which prolongs satiety and reduces appetite Acting on appetite centres in the brain , particularly the hypothalamus, to reduce food intake Most GLP-1 receptor agonists are administered via subcutaneous injection, with dosing frequencies ranging from twice daily to once weekly depending on the specific formulation

Less ideal for GLP-1 users because of the reduced gastric acid environment

Dosage adjustments are made incrementally over time, with a maximum dose of 15 mg once weekly to ensure tolerance and minimize side effects

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