glp 1 arthritis The potential role of GLP‐1 receptor agonists in osteoarthritis - Ryan - 2025 - Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy Targeting the GLP-1/GLP-1R axis to
Description
The clinically most relevant and important action of DPP-4 inhibitors is the endogenous elevation of the incretin hormone concentration of GLP-1 that consecutively leads to a glucose-dependent stimulation of insulin secretion and an inhibition of glucagon secretion (10)

It can also cleave proteins where the second position is glycine, serine, valine, or leucine, but more slowly

Effects of GLP-1 receptor agonists on myokine levels and pro-inflammatory cytokines in patients with type 2 diabetes mellitus

That combination is expensive
One study, completed in 2018, compared tirzepatide directly to dulaglutide: Results found that tirzepatide showed significantly better efficacy with regard to glucose control and weight loss than did dulaglutide, with an acceptable safety and tolerability profile. Side effects with tirzepatide were similar to those of dulaglutide and, in general, the drug was well tolerated
