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These early studies confirmed the once-weekly dosing feasibility and identified the gastrointestinal side effectsprimarily nausea, vomiting, and diarrheathat would become characteristic of GLP-1 receptor agonist therapy

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GLP-1 serves as both a peptide hormone and a growth factor, is released upon nutrient intake, and promotes insulin secretion stimulated by glucose levels

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For example, in a postmenopausal woman with low estrogen - if the 2OH/4OH ratio is low (indicating a preference for the more damaging 4-OH pathway), however, the 4-OH value is at the low end of the postmenopausal range, then the low ratio may not be as concerning