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Song Y, Bi L, Zhang Z, Huang Z, Hou W, Lu X, et al

There are two main reasons why people experience nausea on GLP-1s

Mechanistically, TQ influences various signaling cascades crucial for cancer progression, such as the PI3K/Akt/mTOR pathway, NF-B pathway, and MAPK pathway (100)

GIP was initially isolated from intestinal extracts and shown to have a potent insulinotropic effect.10, 15, 16 However, clinical studies demonstrated that, in hyperglycemic states, the insulinotropic action of GIP is inhibited, while GLP-1s function remains intact.17, 18 Recent research indicates that GIP is largely responsible for postprandial insulin secretion in T2DM, rather than the opposite.19 In preclinical studies, GIP receptor deficiency in mice leads to impaired glucose tolerance with reduced -cell function,20 while GIP-overexpressing mice demonstrate reduced diet-induced obesity and steatosis, and improved beta cell function and glucose homeostasis.21 Collectively, GLP-1 and GIP seem to work in tandem with GLP-1 inhibiting glucagon secretion when the plasma glucose concentration is high, while GIP acts at lower glucose levels.17, 22 Thus, these two hormones could work together in T2DM as the consistent glucose-lowering effect of GLP-1 could potentiate the role of GIP, whose action is dependent upon the glycemic status

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when amounts of NAD+ are low in the body, the DDR process is impaired, resulting in increased damage to the cellular DNA