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Back Drucker, DJ, Philippe, J, Mojsov, S, et al (May 1987) 'Glucagon-like peptide I stimulates insulin gene expression and increases cyclic AMP levels in a rat islet cell line', Proceedings of the National Academy of Sciences , 84/10, 3434-8

Some patients are self-experimenting with peptides, and health systems dont have a systematic mechanism to track outcomes or intervene