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It is reported as orally active in rodents [1]
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Of these, upregulations in phosphofructokinase and pyruvate kinase are of particular note, as these represent rate-limiting catalytic steps within the glycolytic pathway, which is a described result of GLP-1 receptor stimulation that ultimately results in augmented ATP production
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The two reasons are that CBS is activated by estradiol and betaine (Bet), which is twice as high in females compared to males because the enzyme PEMT [Figure 1] is activated by a factor of 2.3 in menstruating females
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