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A human obesity-associated mc4r mutation with defective gq/11 Signaling leads to hyperphagia in mice

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The weight loss mechanism differs as well: GLP-1 agonists work through delayed gastric emptying and central appetite suppression, while berberine's weight effects, when present, likely relate to improved insulin sensitivity and metabolic efficiency

The review documented GLP-1s rapid inactivation by DPP-4 even before the hormone has left the gut raising the hypothesis that GLP-1s actions may be partially transmitted via sensory neurons in the intestine and liver expressing the GLP-1 receptor rather than solely through systemic endocrine circulation