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Other GLP-1s have not listed dysesthesia as an adverse effect

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In the liver, it diminishes glucose production by blocking gluconeogenic enzymes, which are essential proteins in glucose synthesis (Ahrn 2015

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Berberine (BBR) An isoquinoline alkaloid derived from plants such as Berberis species, berberine improves glucose and lipid metabolism by suppressing hepatic lipid synthesis, reducing inflammation, modulating gut microbiota, and attenuating oxidative stress

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