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siRNA silencing of -catenin and a dominant negative insertion of TCF7L2 in INS-1 cells (a -cell line) blunted the ability of Ex4 to stimulate -cell proliferation (139), indicating that Wnt signaling is necessary for GLP-1-induced -cell proliferation

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It can still be a partial distal tendon tear if you felt a sudden sharp pain, but there's still some tendon left