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GLP-1 inhibits intestinal contractions through mechanisms that may involve the central nervous system via vagal pathways or direct action on central receptors [24], as well as the enteric nervous system by modulating neurotransmission through presynaptic receptors affecting nitric oxide release [25,26]

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When this stress becomes significant, it can cause degenerative spondylolisthesis (anterior displacement of a vertebral segment) with or without spondylolysis (defect in the pars interarticularis), which can contribute to lumbar spinal stenosis

Biochemistry 2000

Cystatin C: an emerging biomarker in cardiovascular disease