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The possible mechanisms may involve effects on GLP-1 hormones, the authors of the trial hypothesize, "that are secreted from the gastrointestinal tract and affect appetite by regulating digestive processes and neural signaling in the central nervous system." Medicinal plants are also turning out to be fruitful areas of research
Patients taking other glucose-lowering agents may experience more rapid glycemic improvements, though this must be balanced against increased hypoglycemia risk when combined with insulin or sulfonylureas
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