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Description
Lixisenatide is cleared by glomerular filtration, followed by tubular reabsorption and subsequent metabolic degradation (126)
There are other mechanisms by which circulating incretin mimetics can influence deep brain function without crossing the blood-brain barrier
Additionally, GLP-1 has been shown to enhance the proliferation and differentiation of endothelial progenitor cells through upregulation of VEGF, potentially promoting angiogenesis that could contribute to retinal complications [101,102]
Back De Herder, W, Klppel, G (28 July 2023) 'One hundred years after the discovery of insulin and glucagon: the history of tumors and hyperplasias that hypersecrete these hormones', Endocrine-Related Cancer , 30/9

So far only one oral GLP-1 has appeared on the market, in 2019

When considering GLP-1 agonists for any indication, clinicians and patients must be aware of the established side effect profile of these medications
