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doi: 10.1067/S0022-3476(03)00386-X 16 MuscogiuriGBarreaLFaggianoFMaiorinoMIParrilloMPuglieseGet al
The Three Generations of Incretin Peptide Research The progression from single to dual to triple agonist peptides represents a research trajectory that has played out in roughly ten years: Generation 1 Single GLP-1 Agonists (Semaglutide, Liraglutide, Exenatide) The first incretin peptides to reach broad clinical research were GLP-1 receptor agonists
14.9% mean weight loss with FDA-approved 2.4mg semaglutide over 68 weeks (directly applies to Ro-prescribed Wegovy): nejm.org/doi/full/10.1056/NEJMoa2032183 New England Journal of Medicine SURMOUNT-1 (Jastreboff et al., 2022)
GLP-1 receptors are expressed in the dorsal vagal complex (area postrema) in the brainstema region involved in nausea and vomiting control, and where the blood-brain barrier is incomplete