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In the liver, hepatocytes, Kupffer cells (liver resident macrophages) and endothelial cells sense DAMPs, PAMPs and metabolites and their activation initiates and maintains liver inflammation [48, 54]

Other than that I have experienced zero side effects

Late stage dumping syndrome, which occurs 1 to 3 hours after eating, consists of hunger, fatigue, dizziness and lightheadedness, and feeling like your muscles are made of jelly

Methods In a single-center, randomized crossover study, 10 patients without diabetes underwent two standardized high-carbohydrate meal tests with either saline (SAL) or exenatide (EXE) infusion, one year after RYGB

The salt form is the delivery vehicle