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[1] [22] Both formulations carry a boxed warning regarding thyroid C-cell tumors observed in rodent studies, though the clinical relevance to humans remains uncertain

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Overexpression of glutamine:fructose-6-phosphate-amidotransferase induces transforming growth factor-beta1 synthesis in NIH-3T3 fibroblasts

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This process produces short chain fatty acids that bind free fatty acid receptors, which in turn secrete GLP-1

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