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Thus, we determine five cryo-electron microscopy (cryo-EM) structures, including GIPR and GLP-1R bound with tirzepatide and GIPR, GLP-1R and GCGR bound with peptide 20, all in complex with G s proteins at global resolutions of 3.4 , 3.4 , 3.1 , 3.0 and 3.5 , respectively