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In contrast, another study in rats demonstrated that acute injection of the GLP-1R agonist exendin-4 (Ex-4) increases baseline glucose levels in rats which is due to the activation of the sympathetic nervous system (Perez-Tilve et al., 2010)

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A maintenance protocol of reduced dosing frequency (tesamorelin 3x weekly, ipamorelin once daily) can extend benefits while mitigating desensitization risk

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Most GI symptoms were mild to moderate and diminished by week 12 to 16

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