Given the benets of the dual GIPR and GLP-1R agonist, tirzepatide, and dual GLP- 1R and GCGR agonists, a triple agonist targeting all 3 receptors has the potential to provide a therapeutic approach with superior glycemic control and weight loss than what has been achieved with single and dual receptor agonists
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Under these conditions, we measured a decrease in insulin secretion in response to exendin-4 versus vehicle conditions, primarily due to elevated basal secretion levels at 11 mM glucose (Figure 1E, F), confirming that increased cholesterol levels reduce the GLP-1R glucoregulatory potential by decreasing its capacity to potentiate islet insulin secretion
Nevertheless, prescribers must evaluate each patient individually, considering their complete medical history, current medications, cardiovascular risk factors, and treatment goals