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Dual incretin agonist: difference between revisions

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37Amylin/GLP-1 pairing is achieved differently: [[CagriSema|CagriSema]] is a co-formulation of two separate peptides rather than one molecule, which reintroduces the possibility of differential pharmacokinetics but allows the ratio to be chosen at formulation.37Amylin/GLP-1 pairing is achieved differently: [[CagriSema|CagriSema]] is a co-formulation of two separate peptides rather than one molecule, which reintroduces the possibility of differential pharmacokinetics but allows the ratio to be chosen at formulation.
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+39Adding a third receptor gives the [[Triple agonist|triple agonists]], of which [[Retatrutide|retatrutide]] is the most advanced. Each additional receptor multiplies the design constraints, and the tolerability window narrows as more pathways are engaged simultaneously.{{r|finan2013,campbell2013}}
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39== References ==41== References ==
40{{reflist}}42{{reflist}}
42<ref name="coskun2018">Coskun T, Sloop KW, Loghin C, et al. "LY3298176, a novel dual GIP and GLP-1 receptor agonist for the treatment of type 2 diabetes mellitus." ''Molecular Metabolism'' 18:3–14 (2018). PMID 30473097.</ref>44<ref name="coskun2018">Coskun T, Sloop KW, Loghin C, et al. "LY3298176, a novel dual GIP and GLP-1 receptor agonist for the treatment of type 2 diabetes mellitus." ''Molecular Metabolism'' 18:3–14 (2018). PMID 30473097.</ref>
43<ref name="frias2021">Frías JP, Davies MJ, Rosenstock J, et al. "Tirzepatide versus semaglutide once weekly in patients with type 2 diabetes." ''New England Journal of Medicine'' 385(6):503–515 (2021). PMID 34170647.</ref>45<ref name="frias2021">Frías JP, Davies MJ, Rosenstock J, et al. "Tirzepatide versus semaglutide once weekly in patients with type 2 diabetes." ''New England Journal of Medicine'' 385(6):503–515 (2021). PMID 34170647.</ref>
+46<ref name="campbell2013">Campbell JE, Drucker DJ. "Pharmacology, physiology, and mechanisms of incretin hormone action." ''Cell Metabolism'' 17(6):819–837 (2013). PMID 23684623.</ref>
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45== See also ==48== See also ==