The substitutions reportedly occur at the 2nd, 8th, 15th, and 27th amino acid residues, modifications thought to support stability against proteolytic degradation and improve receptor interaction
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Close monitoring is essential
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This study demonstrated the importance of combined GLP-1R and GCGR signalling, as administration of the balanced co-agonist to Glp1r -/- mice led to hyperglycaemia, further demonstrating the necessity of GLP-1R and GCGR co-agonism to minimise this predicted side-effect
J Cyst Fibros 2020;19:455-9