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Nevertheless, recent advances in understanding the molecular mechanisms, regulatory factors of GLP-1 secretion, signaling pathways, and transcription factors that are effective in endocrine cell differentiation may pave the way for the development of effective applicable medications that can increase GLP-1 secretion and improve L-cell differentiation

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It can also cause seizures when mixed with some antipsychotics (or bupropion) and serotonin syndrome when combined with certain selective serotonin reuptake inhibitors (SSRIs)