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These data are consistent with one of two scenarios, either (1) direct peptide-stimulated inhibition of GLP-1R and Y1-R on -cells, or (2) indirect peptide-mediated insulin release leading to inhibition of glucagon release, as observed in previous studies 50,51

What other symptoms are present (abdominal pain, vomiting blood, bloating, excessive gas, diarrhea, or fever)

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Herbal products and their pharmacologically active ingredients can potentially cause nephrotoxicity, especially during volume depletion and acute illnesses and harmful drug interactions [31]

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Findings in both the type 2 diabetes and obesity groups were similar in a secondary analysis using 1:1 propensity score matching plus an exact match of variables differing by 20% or more between groups