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10.1016/j.jamcollsurg.2019.04.014 6 CaiX.SheM.XuM.ChenH.LiJ.ChenX.et al (2018)

Each receptor contributes distinct effects: GLP-1 Receptor Component Glucose-dependent insulin secretion from pancreatic beta cells Glucagon suppression in pancreatic alpha cells Slowed gastric emptying Hypothalamic appetite reduction GIP Receptor Component Additional insulin secretion enhancement (synergistic with GLP-1) Direct adipose tissue effects on lipid metabolism Centrally mediated appetite effects via brain GIP receptors Glucagon Receptor Component (Unique to Retatrutide) Increased energy expenditure glucagon receptor activity raises metabolic rate Hepatic glucose output modulation increases glucose production in liver (counterbalanced by GLP-1s insulin effects) Direct fatty acid oxidation effects in liver and muscle tissue Body composition effects from energy expenditure changes The glucagon receptor component is what makes retatrutide unique