Scotton WJ, Mollan SP, Walters T, Doughty S, Botfield H, Markey K, et al
Currently available GLP-1 receptor agonists have variable effects on fasting and postprandial blood glucose levels: short-acting GLP-1 receptor agonists have a greater effect on postprandial glucose and long-acting agents have a greater relative effect on fasting glucose ( Table 5 )
Tirzepatide may be considered when semaglutide is not tolerated, although renal benefits remain to be confirmed in dedicated trials (TREASURE-CKD, ClinicalTrials.gov ID NCT05536804)
How GLP-1 Medicines Support Weight Loss 4
It differs from native IGF-1 in that it possesses an arginine instead of a glutamic acid at the third position in its amino acid sequence, and also has an additional 13 amino acids at its N-terminus (MFPAMPLLSLFVN), for a total of 83 amino acids relative to the 70 of native IGF-1