The peptide promotes angiogenesis, the formation of new blood vessels that deliver nutrients and oxygen to injured tissues
While most of the actions of metformin appear to be mediated by cellular activation of AMP-activated protein kinase (AMPK), their findings indicate that the effects on incretin receptor expression in beta cells appear to be independent of AMPK, but, rather, are mediated by peroxisome proliferator-activated receptor (PPAR), as metformin failed to induce expression of the gene encoding the incretin receptor in islets from Ppar knockout mice [10]
Wiley Interdiscip Rev Syst Biol Med (2020) 12(4):e1483
This is something your provider will monitor
Compared with those who didn't take GLP-1s, those who did had a reduction of 10% to 20% in heart failure, cardiac arrest, lung failure, and pneumonia, and Alzheimer's disease and other types of dementia