GLP-1 also acts in the hindbrain, particularly in the caudal nucleus of the solitary tract, which integrates visceral sensory information and stress signals
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S.PadmanabanA.Rodriguez-ZasS.et al
Of note, different reports have also documented the limited efficacy of similar doses of metformin in terms of improvement of metabolic profiles in experimental models of diabetes in female rats 56,57 , as well as in PNA mice 58 , suggesting that the metabolic effects of metformin may be heterogeneous and inconsistent depending on the dose and preclinical model used
In one of the AWARD studies Efficacy and Safety of Dulaglutide Versus Sitagliptin After 52 Weeks in Type 2 Diabetes in a Randomized Controlled Trial (AWARD-5), it showed that Trulicity was more effective in causing weight loss compared to another type 2 diabetes medication, called sitagliptin (a DPP-4 inhibitor)