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Insulin resistance, a known GH effect at supraphysiologic levels, compounds the glucose dysregulation already present in cirrhosis-related diabetes (hepatogenous diabetes affects approximately 30% of cirrhotic patients, per data in the Journal of Diabetes Research)

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Kremastinos DT, Farmakis D

[20] [9] If severe abdominal pain develops during GLP-1 agonist treatmentparticularly if it persists for several hours or is accompanied by repeated vomitingpatients should stop taking the medication and seek immediate medical assessment