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An in vitro study using GnRH neurons of adult male mice demonstrated that both GLP-1 and Ex4 might excite GnRH neurons, either directly or indirectly by modulating the nitric oxide (NO) and endocannabinoid pathways that control the presynaptic excitatory GABA-ergic inputs to GnRH neurons [36]

Clinical trials have shown that Toujeo produces slightly fewer hypoglycemic events, particularly nocturnal hypoglycemia, compared to Lantus at equivalent doses