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Indications for GLP-1 agonist therapy include contraindications or intolerance to metformin or poorly controlled diabetes in patients already taking metformin

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Serious side effects, such as hypoglycemia (low blood sugar), can also occur

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Certain medications can contribute to leg cramps, including loop and thiazide diuretics, beta-agonists, and statins (which more commonly cause diffuse myalgia rather than focal cramps)

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however, p38 MAPK exerts a positive regulation on PGC1, and MAPK1 along with MAPK14 promote both starvation- and hypoxia-induced mitophagy in HeLa cells ( FIGURE 2 On the other hand, in addition to its well-known functions, PGC1, a master regulator of mitochondrial biogenesis, positively regulates mitophagy by directly inducing the expression of transcription factor EB (TFEB) that mediates lysosomal biogenesis (Settembre et al., 2011)

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