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In addition, ghrelin was reported to exert a prokinetic effect on the small bowel, where it stimulates activity front of the migrating motor complex (MMC) through cholinergic mechanisms (26)

Thats why its called a GLP-1 receptor agonist

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The compounding battle wages on Regardless of the outcome of Lillys case, Ittleman thinks the classification of products as a drug or a biologic will continue to be the billion-dollar question. The manufacturers are going to be incentivized to ensure that their GLP-1s meet the standard of a protein and therefore meet the standard of biologics, so that the compounders cant be in that world anymore, he said.