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The only complication was mild transaminitis, attributed in part to acetaminophen use for back pain and headache, which resolved after discontinuation

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Mari G, Gazibara T, Zaletel I, Labudovi Borovi M, Tomanovi N, iri M, et al

doi: 10.1038/nrendo.2015.155 30 Arnaud-LopezLUsalaGCeresiniGMitchellBDPiliaMGPirasMGet al

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Thus, although it is evident that vagal afferents play a key role in metabolic effects of GLP-1, it is not clear whether d-allulose exerts its metabolic actions through GLP-1 and vagal afferent signaling