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The primary mechanisms of action include: Enhanced insulin secretion : GLP-1 receptor agonists stimulate glucose-dependent insulin release from pancreatic beta cells, meaning insulin is released only when blood glucose levels are elevated, reducing hypoglycemia risk when used as monotherapy (though risk increases when combined with insulin or sulfonylureas)

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Current evidence suggests that in many cases, the hair loss observed may be related to the metabolic stress of rapid weight loss rather than a direct toxic effect of the medication itself

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