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GLP-1 receptor agonists work through several pathways: Enhancing insulin secretion from pancreatic beta cells in a glucose-dependent manner, which helps lower blood sugar levels Suppressing glucagon release , thereby reducing hepatic glucose production Slowing gastric emptying , which prolongs satiety and reduces appetite Acting on appetite centres in the brain , particularly the hypothalamus, to decrease food intake While these medications are licensed by the MHRA for type 2 diabetes and, in some formulations (e.g., Saxenda, Wegovy), for chronic weight management, NHS access via NICE guidance is more restricted

Histological analysis in vivo experiments Kidneys were fixed in paraformaldehyde and embedded in paraffin which in turn were sectioned at five m intervals