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doi: 10.1007/s00125-008-1053-5 160 ChristensenMMHHjlundKHother-NielsenOStageTBDamkierPBeck-NielsenHet al

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The clinical investigators specifically noted that "gastrointestinal adverse events were partially mitigated by the use of a lower starting dose." Starting at 1 mg, which is what the Phase 3 TRIUMPH trials use, provides even more tolerability protection

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This balancing act is critical because glucagon classically raises blood glucose (opposing insulin's effects), but when combined with GLP-1 agonism, the glucose-raising effects are counteracted while the metabolic benefits of increased energy expenditure and hepatic fat burning are preserved

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Donnelly D (2012) The structure and function of the glucagon-like peptide-1 receptor and its ligands

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