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This peptide-based mechanism slows gastric emptying, enhances insulin secretion only when blood glucose rises, and reduces hunger signals through the vagus nervea gentler, more metabolically targeted approach than amphetamine-class drugs

In addition, other conditions like folate deficiency, myelodysplastic syndromes (MDS), hypothyroidism, and chronic alcoholism can lead to macrocytic anemia and pancytopenia, making the diagnostic process more complex [7,8]

Supporting Study: Heffernan, M., et al

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The medication works by enhancing insulin secretion in a glucose-dependent manner, suppressing glucagon release, and slowing gastric emptying, which collectively improves glycemic control and promotes weight loss