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Therefore, drug delivery targeting the extracellular region of target receptors faces several insurmountable challenges, including (1) competitive interference from endogenous ligands or antibodies at the target and (2) pseudotarget or target loss caused by shedding or mutation of the extracellular region, which significantly inhibits drug efficacy and may pose safety concerns

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doi: 10.1007/s00125-009-1643-x 33 AslamMLadilovY

Yet, a subset of participants in that trial who had obesity seemed to respond strongly to the treatment

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