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GLP-1R agonists can stimulate cell proliferation in vitro by activation of the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) and 5 adenosine monophosphateactivated protein kinase/mechanistic target of rapamycin signaling pathways and the inactivation of Forkhead box protein O1 (FOXO1) in pancreatic cell lines as well as in cells in human islets of Langerhans

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