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We conclude that L-cells co-secrete ATP together with GLP-1 and PYY, and that ATP acts as an additional signal triggering vagal activation and potentially synergising with the actions of locally elevated peptide hormone concentrations

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Until more research is available, this question remains open

[1] [3] Important safety considerations for long-term use include: Regular monitoring for gastrointestinal symptoms and appropriate management strategies Awareness of signs of pancreatitis (severe abdominal pain radiating to the back)