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In simple terms, it mimics the hormone glucagon-like peptide-1 , which your gut naturally produces after eating

In these drug-naive individuals with prediabetes, the gut microbiota exhibits many early alterations such as a loss of butyrate-producing taxa, an increase of bacteria with pro-inflammatory potentials, as Ruminococcus and Streptococcus , and a decrease in abundance of Akkermansia muciniphila , which shows a potential protective role in T2D development [56]

However, severe gastrointestinal side effects such as persistent vomiting or diarrhoea can cause dehydration, which may indirectly lead to acute kidney injury if not managed promptly

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doi: 10.1089/omi.2014.0018