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The mechanism of action involves several key effects: Enhanced insulin secretion from pancreatic beta cells in a glucose-dependent manner, which helps lower blood glucose levels without causing hypoglycaemia when glucose levels are normal Suppression of glucagon release from pancreatic alpha cells, reducing hepatic glucose production Delayed gastric emptying , which slows the rate at which food leaves the stomach and enters the small intestine Increased satiety through central nervous system effects, leading to reduced appetite and food intake The delayed gastric emptying effect is particularly relevant in the perioperative setting

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Additionally, if you're experiencing severe abdominal pain, persistent nausea and vomiting, blood in your stool, or excessive weight loss, it's important to see a doctor to rule out more serious causes of your symptoms, like inflammatory bowel disease (IBD) or colorectal cancer