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The expression of intestinal endocrine Lcells is regulated by several key receptors activated by short chain fatty acids (SCFAs), specific endogenous cannabinoids and bile acids, and the activation of these receptors increases the secretion of key intestinal peptides, such as GLP-1, GLP-2 and polypeptide YY (PYY) ( in vitro , leading to an increase in GLP-1 release (Petersen et al., 2014)
At the molecular level, this process is typically initiated by pathogen-associated molecular patterns (PAMPs) and endogenous damage-associated molecular patterns (DAMPs)
And with neither physician nor pharmacist for support, people are hunting for medical advice on these peptides in unconventional places, like private Facebook groups and secret social media chats where drugs are given code names and users test unapproved chemicals on themselves
Weight loss magnitude was not significantly associated with cardiovascular outcomes during either time period
Those who interrupted GLP-1 treatment and subsequently resumed before the end of the three-year trial period experienced less benefit compared to those who stayed on the medication, with longer gaps in treatment corresponding to smaller reductions in cardiovascular risk