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If I had evidence of defective cellular pantothenic acid transport, that would support an SMVT defect

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GLP-1 agonists work in several ways, such as by: stimulating meal-dependent insulin secretion by the pancreatic beta cells decreasing the secretion of glucagon, a hormone that raises blood sugar decreasing gastric emptying decreasing appetite and reducing food intake by creating a sensation of stomach fullness GLP-1 agonists may also have some direct effects on brain hunger centers

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There appears to be no breed predisposition or age predisposition (with ages ranging from 14 weeks to 16 years), but 18 of 25 cases (72%) were castrated males cats compared with 7 of 25 (28%) female spayed cats