A key feature of how GLP-1 works is that its glucose-dependent. This means it primarily boosts insulin only when your blood sugar is high after a meal
(5) storage and handling recommendations appropriate to a multi-peptide lyophilized product
Horvath, Marked elevation in plasma trimethylamine-N-oxide (TMAO) in patients with mitochondrial disorders treated with oral l-carnitine, Molecular genetics and metabolism reports 15 (2018) 130-133
doi:10.3389/fphar.2019.00694
Jacobson A, Lam L, Rajendram M, Tamburini F, Honeycutt J, Pham T, Van Treuren W, Pruss K, Stabler SR, Lugo K, Bouley DM, Vilches-Moure JG, Smith M, Sonnenburg JL, Bhatt AS, Huang KC, Monack D (2018) A gut commensal-produced metabolite mediates colonization resistance to salmonella infection