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This tissue distribution is pharmacologically relevant because GLP-1 receptors are expressed not only in the pancreatic islets (where they mediate insulinotropic effects) but also in the gastrointestinal tract (where they slow gastric emptying), the hypothalamus and brainstem (where they mediate appetite suppression), the cardiovascular system (where they may confer cardioprotective effects), and the kidneys (where they promote natriuresis)

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Which means in those disease states, and aging, this metabolic leak gets worse

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For instance, in a murine model, Hofmann et al