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Description

Enzymatic cleavage of secreted PYY 136 at the amino terminal by the enzyme dipeptidyl peptidase IV (DPP-IV) gives rise to PYY 336 [8], the predominant form of circulating PYY

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The European Medicines Agency (EMA) and MHRA have acknowledged this species-specific difference in their risk assessments, noting in the Summary of Product Characteristics (SmPC) that the human relevance of rodent C-cell tumours is unknown

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Strengths include its pragmatic, head-to-head crossover design, which allows within-patient comparisons and direct ranking of therapies in real-world settings, and inclusion of multiple common regimens enhancing external validity

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