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pointed out that epinephrine can markedly impaire tissue sensitivity to an increase in plasma insulin levels resulting from both peripheral and hepatic resistance to the action of insulin [43]
A newly published study has intensified scrutiny over GLP-1 receptor agonists like Ozempic, Mounjaro, and Trulicity, linking them to significantly higher rates of gastrointestinal side effects compared to older diabetes medications

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doi: 10.1080/17425255.2021.1955856
