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The intracellular machinery that leads to hormone release after these receptors are stimulated have yet to be fully understood

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Schernthaner and Schernthaner, 2020), metformin is associated with gastrointestinal side effects in around 20% of patients, including nausea, vomiting, diarrhea, bloating, and occasionally lactic acidosis and vitamin B12 malabsorption

Initial effects on blood sugar often appear within 1-2 weeks, while appetite suppression may begin even sooner for some patients

doi: 10.3389/fendo.2019.00155

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