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The pharmacokinetic profiles of GLP-1 RAs and a dual GLP-1/GIP RA vary owing to their diverse structures (Figures 1 and 2).39,5258 Due to their large molecular weights and high polarity compared to small-molecule drugs, peptide drugs have low membrane permeability, resulting in a relatively small Vd in general.59 Compared to human GLP-1 (Figure 1A), the alanine residue at the second position of the N-terminus in GLP-1 RAs and a dual GLP-1/GIP RA (except for liraglutide) has been substituted to prevent metabolism by DPP-4 (Figure 1)

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