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Food and Drug Administration (FDA) recommends that metformin be used only in patients with an estimated glomerular filtration rate of 30 mL/min/1.73 m2 or greater (4)

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de la Cuesta-Zuluaga et al., 2017

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HPG axis central effects: hypothalamus and pituitary Evidence on the potential neuroendocrine actions of GLP-1 on HPG axis was provided by an in vitro study in a rodent hypothalamic neuronal cell line (GT1-7) that reported a dose-dependent stimulating effect of GLP-1 on GnRH release, in association with a prompt increase in the plasma LH levels following the intracerebroventricular injection of GLP-1 in male rats [34]

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