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The elevated cAMP activates two primary pathways: Protein Kinase A (PKA) and Exchange Protein directly Activated by cAMP (EPAC)

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The most common side effects include nausea, vomiting, and diarrhea, which can subside as the body adjusts to the medication but some people report each time they take an injection there are miserable days they just try and endure

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Women with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2 (MEN2) should discuss their individual risk with a specialist before using any agent in this class, as the clinical significance in humans remains uncertain