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These medications are part of a class called GLP-1 receptor agonists and were originally used to treat type 2 diabetes

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10.1038/s41419-023-05716-0 7 ChenY.LiX.WangS.MiaoR.ZhongJ

[1] [2] The primary function of GLP-1 is to enhance insulin secretion from pancreatic beta cells in a glucose-dependent manner

The pain usually starts gradually over a few weeks or months, typically when the patient has increased their physical activity or is trying a new activity