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Comparative Mechanisms with Other Agents Compared with metformin, which improves insulin sensitivity primarily through hepatic and muscular pathways, GLP-1 RAs act centrally and peripherally to influence appetite, glucose metabolism, and systemic inflammation

Elahi S, Cahue S, Felson DT, Engelman L, Sharma L

doi: 10.1016/j.exer.2014.01.017

Instead, it is studied through several overlapping marker systems, including angiogenesis, nitric oxide signalling, VEGF related markers, fibroblast migration, collagen organisation, tendon fibroblast activity, inflammatory mediators and gastrointestinal mucosal models

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