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According to Woo-Jin Song and colleagues: "Most, if not all effects of GLP-1 and E4 in beta cells appear to require intracellular activation of the adenosine-3-5-cyclic monophosphate (cAMP)- protein kinase A (PKA) signaling pathway by the G-protein coupled receptor of GLP-1, which is highly expressed on pancreatic beta cells

And if you don't eat, you lose weight

Eating Leftovers Out of Guilt Eating leftovers after feeling full due to guilt is another cause of excessive weight

Gleason PP et al, Real-world persistence and adherence to glucagon-like peptide-1 receptor agonists among obese commercially insured adults without diabetes

This "minoxidil shed" is temporary and actually indicates the medication is working, but it can be psychologically distressing if you are not expecting it