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glp-1 stomach acid The OCULUS trial settles the longstanding debate: whether to continue to hold GLP-1/GIP agonists like Mounjaro before upper endoscopy. These were the results👇 📸: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle ...
Chronically high blood glucose can cause excessive inhibitory phosphorylation of key serine residues of insulin receptor substrates (IRS)-1 and 2 (for example, IRS-1 S312 and S616), resulting in reduced insulin receptor binding sensitivity, and triggers the translocation of IRS-1 and 2 from the cell membrane into the cytoplasm with reduced potential activation of downstream Ak strain transforming (Akt) and extracellular signal-regulated kinase 1/2 (ERK1/2) signaling kinases (47, 48)
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This provides a framework through which exaggerated effects on insulin release can occur without increased nausea, but this remains to be confirmed experimentally