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Their primary effects include: Glucose-dependent insulin secretion from pancreatic beta cells Suppression of glucagon release from alpha cells Delayed gastric emptying , promoting satiety Central appetite suppression via hypothalamic pathways Reduced energy intake through decreased appetite and earlier satiety These medications produce substantial weight losstypically 10-15% of body weight with semaglutide and up to 20% with tirzepatideprimarily through reduced caloric intake

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Cloning and functional expression of the human glucagon-like peptide-1 (GLP-1) receptor