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Although previous ex vivo studies employing NCI-H716 cells (a human L cell line) [35] or human ileal and colonic tissues [14] were indicative of a direct effect of metformin in stimulating GLP-1 release, clinical evidence suggests that the augmentation of postprandial GLP-1 secretion by metformin is largely indirect
The first being our selection of animals slated for euthanasia for the study, which resulted in our use of several sub-strains of mice (all on a C57BL/6 background), and limited our ability to control early life experiences
Increased total sleep time by ~59% vs placebo in a controlled study
More serious but rare adverse events include pancreatitis (0.2% incidence), gallbladder disease requiring surgical intervention, and medullary thyroid carcinoma risk in genetically predisposed individuals (contraindicated in patients with personal or family history of MTC or MEN2 syndrome)
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