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Whether the positive impact of GLP-1RAs on hepatic histology is indirect, i.e., through their action on extrahepatic tissues, or whether their action is direct, i.e., through activating GLP-1R on the hepatocytes, is still a controversial issue

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We should still examine these patients properly, since a change in smell or taste can point to other things too, and it would be a mistake to assume the drug is the cause without checking
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