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Although designed for cardiovascular safety, other safety aspects may also be assessed in CVOTs

The G-protein-coupled receptors in the human genome form five main families

Peripheral Metabolic Effects Beyond glucose regulation, GLP2 influences multiple metabolic parameters: Improved insulin sensitivity markers including HOMA2-IR reductions Favorable effects on lipid profiles with reductions in triglycerides and LDL cholesterol Decreased liver enzyme levels suggesting hepatic metabolic improvements Increased insulin-like growth factor binding proteins (IGFBP1 and IGFBP2) [CALLOUT BOX Highlighted] Key Mechanistic Insight: GLP2s imbalanced dual agonism stronger GIP receptor activation combined with biased GLP-1 receptor signaling creates a unique pharmacological profile distinct from selective GLP-1 receptor agonists

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