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The GIP component already provides some receptor tolerance overlap, but the glucagon agonism is entirely new territory

Combining GLP-1 with estrogen into a stable conjugate that stimulates all GLP-1R-expressing cells but only those estrogen receptor-expressing cells that contain GLP-1R leads to better glycemic control and synergistic weight loss, as well as a reduction in food reward, the latter 2 mediated by the CNS (42, 43)

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This reflects GLP-1 microbiome science and aligns with broader Akkermansia muciniphila science , in which microbial metabolites, barrier integrity, and gut signaling pathways are studied together rather than in isolation
