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3 Intestinal microbiome Intestinal microbiome are normal microorganisms in the gut that synthesize a variety of vitamins essential for human growth and development, participate in glucose metabolism and protein metabolism, maintain normal intestinal physiological functions, and antagonize the colonization of pathogenic microorganisms ( Thick-walled phyla , Actinobacteria phylum , Anaplasmomycetes, Clostridium and Methanobacteria phylum

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Conversely, population studies have found no association between increased risk of diabetic retinopathy and GLP-1 RA use [104, 105], with a low odds ratio observed for exenatide (OR 0.16), liraglutide (OR 0.18), albiglutide (OR 0.09), and dulaglutide (OR 0.11) [106]

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