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In nutrient-replete states, GLP-1induced insulin signaling suppresses adipose lipolysis, whereas during reduced caloric intake and relative glucose scarcity, lipid substrates become the dominant oxidative fuel [59, 60]

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There was generally a low incidence of severe and symptomatic blood glucose-confirmed hypoglycaemia, but the rate was higher in background medication subgroups containing sulphonylurea or insulin, regardless of the trial product received (see Table S3 in the Supplementary Information)

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