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When amino acids reach the small intestine, they directly trigger L cells to release GLP-1 through nutrient-sensing mechanisms involving the calcium-sensing receptor (CaSR) and peptide transporter 1 (PEPT1)

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This dose-finding study included 632 patients with T2D (mean diabetes duration 6.3 years and mean baseline HbA 1c 7.9%) and assessed the doseresponse relationship on glycemic control [mean change in hemoglobin A 1c (HbA 1c )] of once-daily oral semaglutide (2.5, 5, 10, 20, and 40 mg dose escalated over 4 weeks) versus placebo (double-blind) and s.c

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Unlike systemic administration, which causes selective pancreatic -cell destruction via GLUT2 transporters and is used to model type 1 diabetes mellitus (T1DM), icv-STZ acts directly on neurons in the central nervous system (CNS)

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