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Common adverse effects include nausea (occurring in approximately 44% of patients initially), vomiting, and diarrhea, which typically diminish over time

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Increased Energy Expenditure: GLP-1 RAs may activate sympathetic pathways in the hypothalamus (specifically the dorsomedial and ventromedial nuclei) that increase thermogenic activity in brown adipose tissue (BAT), contributing to increased energy expenditure and weight loss

doi: 10.1124/dmd.115.065920 [DOI] [PMC free article] [PubMed] [Google Scholar] 223.Jones HM, Chen Y, Gibson C, et al

Further supporting the role of Pax6 in regulating intestinal Gcg expression, adenoviral overexpression of Pax6 enhances Gcg promoter activity and Gcg expression in intestinal enteroendocrine cells such as the secretin tumor cell line-1 (STC-1) and cells derived from colonic tumors of transgenic mice expressing large T antigen under the control of the proglucagon promoter (GLUTag cells) [108]