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Big modifiable risks include cholesterol, smoking, and hypertension (which is itself a form of cardiovascular disease!)

Liver energy metabolism reprogramming: GLP-1RA reduces hepatic glucose output by decreasing hepatic FFA uptake and the expression of key gluconeogenesis enzymes such as PEPCK and G6Pase, while promoting liver sensitivity to insulin, transforming the liver from an "energy output organ" to an "energy storage organ"

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GLP-1 receptor agonists mechanism overview

22 One study had moderate concerns with a low participation rate, no confounder adjustment, and moderate risks in selection of participants and reported results, as well as deviations from intended interventions (ESM eFig

You will also see overlapping language online such as nad plus side effects