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Therefore, it was further inferred that exendin-4 might first bind to GLP-1R and act on the PKA pathway, which in turn affects the Wnt/-catenin pathway in the osteoblasts, reduces the expression of sclerostin, and promotes the formation of bone (Kim et al., 2013)

Rotate the injection site each day to prevent irritation and lipohypertrophy [9]

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Furthermore, in the domain of neurodegenerative diseases, individuals with T2DM have a markedly increased risk of Alzheimers and Parkinsons disease
