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It was suggested that binding affinity of exendin-4 solely depends on its interaction with the NTD of GLP-1R, not with TM helices and ECLs because the binding affinity of exendin-4 did not alter when it bound to the isolated NTD of GLP-1R

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Even though some research suggests that weekly injections might work marginally better, oral versions are still effective for Type 2 diabetes treatment and work off-label for weight reduction as well

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