doi: 10.1530/JME-17-0311 38 SabatiniDM
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Safety, tolerability, manufacturing scale, reimbursement and long-term outcomes will increasingly determine which products become commercial winners
GLP-1R works through the combination of the endogenous ligand Glucagon-like peptide-1 (GLP-1) or exogenous agonists, which activate multiple intracellular signaling pathways that enhance insulin secretion, inhibit glucagon secretion, protect -cells from apoptosis, delay gastric emptying and increase satiety
In the cytoplasm, vitamin B12 deficiency impacts the enzyme methionine synthase, with some consequences that adversely affect DNA, RNA, proteins, neurotransmitters, and phospholipids, and with some consequences that indirectly contribute to oxidative stress