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Mechanisms involve stimulation of VEGF and hepatocyte growth factor production along with activation of the Wnt/beta-catenin signaling pathway that drives follicle proliferation
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Their binding first activates cAMP and intracellular calcium - dominated signal transduction pathways
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Whilst there is no universal guidance mandating routine B12 monitoring specifically for GLP-1/GIP users, clinical judgement should guide individualised monitoring
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