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It works by stimulating insulin secretion, suppressing glucagon release, slowing the rate at which the stomach empties, and increasing feelings of fullness

In the first 12 to 16 hours of fasting, insulin levels fall as glucose stores deplete

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[DOI] [PMC free article] [PubMed] [Google Scholar] 94.Rajasekeran H., Cherney D.Z., Lovshin J.A

This case highlights the danger of unregulated formulations that are easy to acquire and prone to wrong dosing