GLP-1R agonists effect(s) on vascular smooth muscle cells are equally important to those on endothelial cells with several favorable responses being reported, including enhanced differentiation, attenuated response to reactive oxygen species, reduced vascular remodeling through improved mitochondrial activity and dynamics, and the prevention of aberrant migration [65]
Severe breathing difficulty, chest pain, confusion, very high fever with shaking chills, inability to keep fluids down for over 24 hours, or signs of severe dehydration all need in-person medical evaluation first
Both canagliflozin and liraglutide significantly decreased HbA1c (by 0.89% and 1.43%, respectively) and increased -cell glucose sensitivity (from 295 to 5511 and from 336 to 101 16, respectively)
Double check with your doctor to see if you need it