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doi: 10.1053/j.gastro.2019.05.004 257 GengHWYinFYZhangZFGongXYangY

Summary: GLP-1 receptor agonists are associated with an increased incidence of cholesterol gallstones, likely due to rapid weight loss and reduced gallbladder motility

But they happen frequently because patients make assumptions that do not survive contact with their actual vial

For example, fibroblast growth factor 21 is a new metabolic regulator that is produced mainly in the liver and participates in the regulation of lipid metabolism, including lipolysis, fatty acid oxidation and ketogenesis (Reference Coskun, Bina and Schneider37)