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Transient activation of AMPK can inhibit protein synthesis through phosphorylation of elongation factor-2 kinase 37 and suppression of the mTOR pathway 38 , thus enhancing the restoration of cellular energy homeostasis and alleviating the burden of the unfolded nascent polypeptides 31
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While glucagon traditionally raises blood glucose, the concurrent GLP-1 and GIP agonism counterbalances this hyperglycemic effect, allowing retatrutide to achieve net glycemic improvement while harnessing glucagon's catabolic benefits for energy expenditure and liver fat clearance
