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Relevant studies have found that exendin-4 could mediate the neuroprotective effect on -aminobutyric acid neurons in the piriform cortex and striatum and play a neuroprotective role in a cAMP/PKA- and PI3K/AKT-dependent manner after stroke (84, 85)

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Some conditions create enough additional risk that the combination requires physician supervision at minimum, and in some cases should be avoided entirely