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In addition to acting through the p38 pathway, GLP-1RAs also promote the increase of PKA levels via the cAMP-dependent pathway, which in turn prevents the phosphorylation of epidermal growth factor receptor (EGFR) and activator of transcription 3 (STAT3), resulting in the inactivation of the EGFR-STAT3 signaling pathway in tumor cells and subsequently downregulating several downstream effector genes such as myelocytomatosis oncogene (c-Myc), survivin, cyclin D1, Bcl-xl, and Bcl-2, thereby inducing apoptosis in tumor cells in a dose-dependent manner [70, 73]

Dose adjustment, slower titration schedules, or additional supportive measures can often alleviate symptoms whilst allowing continuation of therapy

d , Fasting plasma insulin, ( e ) fasting blood glucose and ( f ) plasma ALT levels at the end of the study

1 In examining ongoing fibromyalgia care, cohort A had a reduced reliance on care (OR, 0.512

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