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doi: 10.1210/jc.2015-3167 34 NealBPerkovicVMatthewsDR

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Given the current lack of robust evidence from long-term, large-sample RCTs, the majority of evidence for pharmacological interventions targeting MC4R -deficient obesity discussed in this review - particularly for liraglutide and semaglutide - derives from case reports

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Like liraglutide, semaglutide incorporates an Aib substitution at the 8th position in place of Ala, which confers resistance to enzymatic degradation by DPP-4

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Lotiglipron The development of lotiglipron for obesity and T2DM was prematurely stopped in early-phase clinical trials due to its association with elevated transaminases and potential liver toxicity

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71 These modulators can potentially provide more selective activation of the receptor, reducing adverse effects and improving efficacy

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H., Finan, B., & Tena-Sempere, M

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