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Moreover, GLP-1R activates adenylyl cyclase (AC) to produce cyclic adenosine monophosphate (cAMP), which in turn activates protein kinase A (PKA) that activates cAMP response element-binding protein (CREB), a constitutively expressed nuclear transcription factor that regulates the expression of genes involved in inflammation [11, 12]

Regulatory authorities discontinued early appetite-suppressant drugs, including fenfluramine and sibutramine, because of safety concerns (11)

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