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Therefore, the addition of glucose-lowering agents is recommended by the American and European Diabetes Associations to control and/or minimize the risk of cardiovascular disease and microvascular complications [103]

2,4 Emerging studies indicate that GLP-1 may also contribute to the health of the gut microbiome

These may include surgical removal of tumours, medications that block cortisol production (such as metyrapone or ketoconazole), or in some cases, adrenalectomy

5c-d), there was no change in the beneficial effect on glycaemia of Ex4 injection into the OB indicating that PNS activity was not implicated in the beneficial effects of Ex4 administration in the OB

Some patients may experience alternating constipation and diarrhea, which could create a cycle of irritation and pressure changes in the anorectal region

doi: 10.1038/s41591-025-03774-9, 95 MathesC
