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Introduction Gut enteroendocrine cells (EECs) are specialized secretory cells that are sparsely scattered throughout the mucosal epithelium of the gastrointestinal (GI) tract and which constitute the largest endocrine organ by mass in the body ( Serotonin Serotonin (5-HT) is produced by enterochromaffin (EC) cells, which constitute ~50% of the total EEC population and are scattered throughout the length of the gut, from the stomach to the distal colon ( Although traditionally regarded as a regulator for gastric motility ( Gut-derived 5-HT also attenuates the release of several metabolically important blood glucose-lowering chemokines, such as adiponectin from adipose tissue (33), and bone-derived osteocalcin and lipocalin 2 (3436), through inhibition of osteoblast proliferation (37)