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Notably, GLP-1 directly interacts with vagal afferent neurons 19 , and surgical or chemical denervation of vagal afferents and specific Glp1r knockdown in vagal afferent neurons attenuate anorexigenic, insulinotropic and glycemic effects of exogenous GLP-1 and dipeptidyl peptide-4 (DPP-4

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However, experts say patients discontinuing these medications may experience sharp metabolic shifts

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