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Previous work reports that the GLP-1R agonist, exendin-4, stimulates cell proliferation in juvenile but not adult human islets (73)

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143 In studies involving healthy individuals, a 28-day treatment with sitagliptin did not affect lymphocyte and T cell subsets, plasma chemokine/cytokine concentrations, or cytokine release upon stimulation of peripheral blood mononuclear cells
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Choosing between semaglutide and tirzepatide depends on several factors, including how a patients body responds, the presence of diabetes, and tolerance to side effects

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The presence of rumination syndrome and/or an eating disorders (including anorexia nervosa and bulimia) should be considered when evaluating a patient for gastroparesis