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The drugs achieve these benefits by mimicking GLP-1s effects: They stimulate insulin production by binding to beta-cells in the pancreas

Research published in Nature Reviews Endocrinology shows that eating fermentable fibres (prebiotics) triggers the L-cells in your gut to release endogenous GLP-1

Once reconstituted, refrigeration is recommended to preserve stability

Even if you acknowledge the limitations of the data (insulin as a comparison, we cant review the full paper yet), a finding like fewer deaths is always a positive sign, and its an endpoint thats impossible to achieve with a placebo effect or manipulate with selective criteria