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Nisotirotide (LY3841136) is a long-acting, unimolecular triple agonist peptide developed by Eli Lilly & Co. for the treatment of type 2 diabetes mellitus and obesity. It simultaneously targets three key metabolic receptors: the glucose-dependent insulinotropic polypeptide (GIP) receptor, the glucagon-like peptide-1 (GLP-1) receptor, and the glucagon receptor. By integrating these three pathways, nisotirotide aims to achieve superior weight loss and glycemic efficacy compared to single or dual incretin agonists. GLP-1 and GIP receptor activation stimulates insulin secretion and induces satiety, while glucagon receptor agonism increases energy expenditure and modulates hepatic glucose and lipid metabolism.
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