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After the knockout of the GLP-1R gene, in transgenic mice expressing human GLP-1R in pancreatic islets and pancreatic ductal cells restored cAMP and serine threonine kinase (Akt) phosphorylation levels in isolated islets, increased GLP-1-stimulated insulin secretion and GLP-1R-dependent -cell proliferation, and promoted transgenic mice for glucose regulation in response to feeding (Lamont et al., 2012)

Most patients experience gastrointestinal effects in weeks 14, with symptom severity and duration varying widely

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Weeks 25-48: Maintenance Optimization Later treatment phases involve continued improvement at diminishing rates