In addition to its direct effects on beta cells, GIP also leads to increased glucagon secretion, and indirectly results in increased insulin secretion via communication between the alpha and beta cells of the pancreas ( via complex mechanisms, including stimulation of somatostatin secretion, which inhibits glucagon secretion, and indirectly via stimulation of insulin production, which then inhibits glucagon release ( Figure 1 Incretin action plays a large role on post-prandial secretion of insulin, and may account for up to 70% of hormone release ( Both incretins have effects outside the pancreas
15, 2024, Wegovy and Saxenda are preferred formulary agents in the GLP-1 class for weight management
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Fat-soluble vitamins (A, D, E, and K) should be taken with meals containing some dietary fat to optimize absorption