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In the one published human clinical study of CJC-1295 with DAC a Phase I dose-escalation trial in healthy adults tolerability was characterized as good, with injection-site reactions reported as the most common adverse effect
This combination, therefore, outperformed others in terms of clinical and metabolic effects (200)
It was initially thought that the anti-diabetic effects of DPP-4 inhibition were predominantly due to the enhanced levels of intact GLP-1 [because the insulinotropic effect of GIP is substantially impaired in subjects with T2DM (42)], but this now seems not to be the case
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With the development of IR, an unfavorable, reverse flux of FFAs toward non-adipose tissues, such as the liver, occurs