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Le-Vel may conduct internal studies, but these rarely receive peer review or publication in scientific journals

Of the initial 79 articles identified, 3 were excluded because the full texts were unavailable

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N Engl J Med (2021) 385(21):2015.doi: 10.1056/NEJMc2114053 5 ArslanianSAEl GhormliLKimJYTjadenAHBarengoltsECaprioSet al

Mechanisms of Glycemic Control (The Pancreas) The primary mechanism for glycemic control involves the activation of GLP-1 receptors (GLP-1R) on pancreatic islet cells, initiating intracellular signaling cascades such as the cAMP/PKA and PI3K/Akt pathways (Figure 1)(Zheng et al., 2024)