The Dual Agonist Advantage: GLP-1 and GIP Unlike earlier medications that targeted only one pathway, tirzepatide is a novel dual agonist, mimicking the action of two naturally occurring incretin hormones: glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP)
Sleeth ML, Thompson EL, Ford HE, Zac-Varghese SE, Frost G
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Nasal mucosal aminopeptidases and endopeptidases create a presystemic degradation barrier that is distinct from and often worse than intestinal first-pass metabolism for many peptide sequences