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Individuals with liver disease, elevated liver enzymes, or other hepatic concerns should discuss all supplements, medications, and peptides with their healthcare provider
A suggested mechanism involves prolonged GIPR agonism causing receptor degradation, reducing sustained GIP signalling and, when combined with GLP-1R agonism, causing increased weight loss ( The GLP-1R has itself several LoF variants including R380C, shown by two independent groups to have normal surface expression but reduced affinity for Exenatide (Wootten et al., 2016
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