Additionally, incretins seem affect the vagus nerve in the central nervous system (CNS) to decrease GI motility decelerating gastric emptying [12]
Signaling profiles in HEK 293T cells co-expressing GLP-1 and GIP receptors

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The technology rapidly progressed with several types of co-agonists forging ahead in clinical trials including GIP/GLP-1 receptor dual agonists with one of the most notable being tirzepatide [8,9]
Bettadapura, A., Dowling, K., Jablon, K., Al-Humadi, A.W., and le Roux, C.W
For the first time in the history of obesity medications we see weight loss efficacy of a magnitude that might raise concern about excessive loss of lean body tissue due to the initial pronounced reduction in energy intake and subsequent risk of protein deficiency