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The primary mechanisms of action include: Enhancing glucose-dependent insulin secretion from pancreatic beta cells, which helps lower blood glucose levels when they are elevated Suppressing glucagon release from pancreatic alpha cells, reducing hepatic glucose production [1] [2] Slowing gastric emptying , which moderates the rate at which nutrients enter the bloodstream Promoting satiety through central nervous system pathways, leading to reduced caloric intake [1] [2] These medications are peptide-based (and one fusion protein) and are temperature sensitive

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Aliment Pharmacol Ther 2005;22:957-962

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[192] engineered the FN III 9-10 and FN III 12-14 fragments through genetic manipulation, resulting in the development of a recombinant FN fragment, FN III 9-10/1214 , which was subsequently covalently conjugated to the fibrin scaffold