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Established CSF markers of neurodegeneration, including neurofilament light chain (NfL), t-tau, and AD-related amyloid/tau signaturesparticularly reduced A42 and composite ratios such as p-tau/A42 or A42/40have been associated with shunt outcome, but with limited and inconsistent predictive accuracy 3438

Studies conducted on rat -cells (47) and cell lines expressing recombinant GLP-1R and GIP-R in vitro and human islets (41) demonstrated that the adenylate cyclase was influenced by signals arising from the stimulation of both receptors, mainly deriving from GIP ( Figure 1 )

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