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What they found (summary): Amylin is a critical partner of insulin in metabolism, the loss of amylin in T2DM is as significant as the loss of insulin The AMY1 receptor in the area postrema is the primary target for the appetite effect Amyloid aggregation is the main problem with native amylin, proline substitutions (the Pramlintide strategy) are essential The half-life of native amylin is only 13 minutes, that is why lipidated analogs like Cagrilintide are necessary Perspective: amylin + GLP-1 combinations are the natural evolution of metabolic pharmacotherapy Why it matters: This is the reference article for amylin pharmacology

They are indicated in chronic nonregenerative anemias

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OCTN2 is a major mediator of L-carnitine passage, which plays an important role in translocation of acetyl-moiety and contributes to the acetylcholine and acetyl-L-carnitine synthesis in the brain (190,191,192)