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However, evidence from human cell-based experiments suggests that these benefits are unlikely to result from direct actions on hepatocytes or HSCs, instead reflecting indirect metabolic and anti-inflammatory mechanisms

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According to the MHRA/EMC SmPC, these include: Vomiting reported in approximately 8% of patients Abdominal pain and discomfort cramping or bloating may make it difficult to find a comfortable sleeping position Acid reflux or heartburn which can worsen when lying down Hypoglycaemia (low blood glucose) may occur, particularly when Ozempic is used in combination with sulphonylureas or insulin

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These observations lend support to the hypothesis that GLP-1/GLP-1R axis might directly act on ovarian MGCs to promote the follicular development in a dose-dependent manner, likely contributing to the oocyte maturation in PCOS

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