Exendin-4 (exenatide) has been shown to be effective in a mouse model of ALD, ameliorating hepatic steatosis and improving metabolic markers such as insulin resistance and lipid levels
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In addition, peptide polyagonists (i.e., synthetic molecules that combine the amino acid sequences of more than one peptide, thus having the ability to bind to more than one receptor), such as tirzepatide (LY3298176) [a dual GLP-1RA and glucose-dependent insulinotropic polypeptide (GIP) receptor agonist] have also been introduced into the management of metabolic diseases, including T2DM and obesity, and also are under investigation for NAFLD with high expectations [7]
The children that participated in the study had appropriate suppression of insulin secretion in response to hypoglycemia and had a normal fasting tolerance, arguing against an underlying disorder of insulin secretion ( In order to better characterize the role of endogenous GLP-1 in post-prandial hypoglycemia secondary to fundoplication, the insulin response to a standardized mixed meal in affected children was measured with concomitant administration of exendin-(9-39) or vehicle through a continuous intravenous infusion