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And the two are not always mutually exclusive

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Bianchi R, Cervellini I, Porretta-Serapiglia C, et al
Our finding that GLP-1 has no predictive value on the stroke-outcome argues against GLP-1 being an effective mediator for glycaemia regulation in patients exposed to an ischemic stroke and also suggest that GLP-1 is not part of the negative effect that hyperglycemia has on the outcome of stroke
