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22 Several other studies showed that there was no significant relationship between GLP-1 RAs and DR worsening, including one study by Joo et al in which manual review of the data was conducted to ensure accuracy in the ICD coding used to determine outcomes

While daily use before routine training is not necessarily recommended, strategic supplementation before high-load sessions, time trials, or competitions may help reduce perceived exertion and optimize fat oxidation

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Notably, liraglutide treatment significantly inhibited activated sodium-glucose co- transporter-2 (SGLT2) restored depressed insulin receptor substrate 1 (IRS1), and increased protein kinase G (PKG) levels