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Underscoring the importance that direct cholesterol engagement has in the modulation of GLP-1R function, the changes in cholesterol binding and plasma membrane behaviours introduced by the V229A substitution led to significant effects on GLP-1R trafficking and signalling in beta cells: V229A caused a decrease in GLP-1R recruitment to CCPs and receptor internalisation, accompanied by an increase in G s (measured with mini-G s ) and -arrestin 2 engagement, as well as increased plasma membrane recycling following exendin-4 stimulation

Because the symptoms are often non-specific, they are easy to attribute to other causes

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10.3389/fendo.2019.00266 [DOI] [PMC free article] [PubMed] [Google Scholar] Sattar, N

The stall reflects a new equilibrium between these pharmaceutical effects and your body counterregulatory forces