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It belongs to a novel class of drugs known as triple agonists, meaning it simultaneously activates three hormone receptors: the glucagon-like peptide-1 (GLP-1) receptor, the glucose-dependent insulinotropic polypeptide (GIP) receptor, and the glucagon receptor

These changes highlight a critical but often overlooked factor: the underlying state of the gut microbiome

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However, due to the lack of research data at present, and because the mechanism underlying the action of DPP-4iDPP-4i upon BP is complex, further studies are now needed to identify the precise mechanism involved