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and patents pending from Roche Diabetes Care

doi:10.1124/pr.115.011395

As a result, the increased secondary BAs can activate TGR5, which increases L-cells and GLP-1 secretion by inhibiting the RhoA/ROCK pathway and inducing YAP activation [157, 203]

GLP-1 may also affect hunger centers in the brain, which impacts appetite regulation and reduces hunger
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Guidelines provided by KDIGO similarly recommend SGLT2i for people with an eGFR of 30 ml/min/1.73 m 2 due to the vascular and renal benefit, despite its modest effect on glucose control [2]