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Studies in rats have identified GLP-1R expression in both the nodose ganglion (162) and vagal nerve terminals innervating the portal vein (163), and GLP-1 has been shown to increase impulse generation in both gastric and hepatic vagal afferent fibers (164, 165)

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That is roughly 16 months of treatment

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This is related to delayed gastric emptying and altered liver metabolism

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