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18,19 Given the confounding information, there is no established DR screening protocol upon GLP-1RA initiation

Ginsenoside compound K increases glucagon-like peptide-1 release and L-cell abundance in db/db mice through TGR5/YAP signaling

Sanyal 2024 confirmed this directly: -hydroxybutyrate (the biomarker for hepatic fatty-acid oxidation) rose +93% at 4 mg and +181% at 12 mg the signature of active glucagon-driven lipid mobilization, not a downstream consequence of weight loss

Proper injection technique and site rotation minimise these reactions

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