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This creates a genuine paradox

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The studies investigated a range of GLP-1 receptor agonists as shown in Table 3: Liraglutide: Used in 3 studies, making it the most frequently tested GLP-1 for GDM

Each receptor system contributes distinct metabolic effects and GLP-1 influencing insulin secretion and appetite, GIP influencing incretin response and fat cell biology, and glucagon driving energy expenditure and hepatic fat metabolism