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They activate different intracellular signaling cascades (cAMP/PKA pathway in fat cells vs incretin signaling in gut and brain)

If constipation occurs alongside bloating, over-the-counter osmotic laxatives (such as polyethylene glycol) or stool softeners may be helpful, but should be discussed with your healthcare provider first

References Lau DCW, Erichsen L, Francisco AM, et al

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This means if you dont live in a state where they offer it, you dont have access