exendin 4 vs glp 1 Exendin-4, but not glucagon-like peptide-1, is cleared exclusively by glomerular filtration in anaesthetised pigs | Diabetologia Exendin-4 - GLP-1 Receptor Agonist
Description
From these results it was concluded that the proteolytic activity DPP4/CD26 is not required for the costimulatory function

De Boer SY, Masclee AA, Lam WF, Lamers CB

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During GLP-1R blockade, infusion of glucose was immediately required upon starting GLP-1m infusions in all subjects due to a more dramatic reduction in HGP, as well as a delayed and modest insulinotropic response

Similarly to how we treat chronic conditions like high blood pressure or diabetes, these medications should be seen as part of a comprehensive treatment plan
