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Lancet 2009;374:3947 [DOI] [PubMed] [Google Scholar] 67.Rosenstock J, Raccah D, Kornyi L, et al

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Research suggests that some individuals with obesity may have altered GLP-1 responses, though findings are heterogeneous

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It is most associated with SGLT2 inhibitors (a different class of diabetes drug) but has been reported with GLP-1 medications in the context of very low carbohydrate intake, particularly during illness, fasting, or periods of very low food intake

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