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Slowing the climb is the main lever

GLP- 1 receptor agonists have a mechanism of action that provides a multimodal strategy for the treatment of obesity and T2DM

It has been known for more than a century that the gut is capable to stimulate the endocrine portion of the pancreas and even improve the hyperglycaemic state of diabetic patients (10, 11)

The only thing that changes is the shape of the concentration curve over those seven days

Administration of exendin 4 once weekly for 4 weeks decreases the rate of gastric emptying in a dose-dependent manner

That results in higher final and maintenance costs than many competitors who may start out more expensive, but who promise to keep costs flat across their dose ranges (saving you a lot more money in the long run)