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It is a single molecule that targets the bodys receptors for GIP and GLP-1, which are natural incretin hormones

Diabetes (2015) 64(1):728.10.2337/db14-0440 98 CalannaSChristensenMHolstJJLaferrereBGluudLLVilsbollTet alSecretion of glucose-dependent insulinotropic polypeptide in patients with type 2 diabetes: systematic review and meta-analysis of clinical studies

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However, evidence suggests that the combinations effect is not additive

1 2 "Exendin-4 induced glucagon-like peptide-1 receptor activation reverses behavioral impairments of mild traumatic brain injury in mice"

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