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The primary mechanisms of action include: Enhancing glucose-dependent insulin secretion from pancreatic beta cells, which helps lower blood glucose levels when they are elevated Suppressing glucagon release from pancreatic alpha cells, reducing hepatic glucose production [1] [2] Slowing gastric emptying , which moderates the rate at which nutrients enter the bloodstream Promoting satiety through central nervous system pathways, leading to reduced caloric intake [1] [2] These medications are peptide-based (and one fusion protein) and are temperature sensitive

Hexarelin is also involved in the protection of the nervous system

501,502 Key recommendations: T1DM patients: Early and intensive glycemic control is recommended to prevent or delay the onset and progression of DPN and DAN

Never reuse a needle, and follow sterile technique