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doi: 10.14309/ajg.0000000000003208

Their primary mechanisms include: Enhancing insulin secretion from pancreatic beta cells in a glucose-dependent manner Suppressing glucagon release , which reduces hepatic glucose production Slowing gastric emptying , promoting satiety and reducing appetite Acting on central nervous system pathways involved in appetite regulation These combined effects lead to improved glycaemic control in people with type 2 diabetes and significant weight reduction in those with obesity

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Kidney or liver impairment can alter drug clearance