Complexity of Endocrine Physiology: The enteroendocrine system is complex and incompletely understood
As discussed above, endogenous GLP-1 is rapidly degraded by DPP-4, whereby it loses its insulinotropic activity, and preventing this degradation results in increased intact GLP-1 levels, improved pancreatic islet responses (enhanced insulin and suppressed glucagon levels) and beneficial effects on glucose homeostasis
Further elucidation is needed about the function of tanycytes and tanycytic GLP-1R-dependent transport of GLP-1RAs
Cyclic Vomiting Syndrome What It Is: Recurring episodes of severe vomiting with no apparent cause, potentially triggered or worsened by GLP-1 medications
Wang D, Luo P, Wang Y, Li W, Wang C, Sun D, et al