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published in Diabetes, Obesity and Metabolism examined data from 52 randomized controlled trials involving over 75,000 participants treated with GLP-1 receptor agonists

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Bile acids can also stimulate GLP-1.[ref] Importantly, modern exposure to glyphosate and antibiotics may be reducing our natural, constant GLP-1 levels: Animal studies show that GLP-1 levels are reduced due to gut microbiome changes from glyphosate.[ref] Studies using germ-free mice show that GLP-1 secretion after a meal is abolished without the gut microbiome.[ref] How GLP-1 Controls Appetite and Prevents Binge Eating GLP-1 regulates appetite through several distinct mechanisms that affect the brain and the gut