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The Three Generations of Incretin Peptide Research The progression from single to dual to triple agonist peptides represents a research trajectory that has played out in roughly ten years: Generation 1 Single GLP-1 Agonists (Semaglutide, Liraglutide, Exenatide) The first incretin peptides to reach broad clinical research were GLP-1 receptor agonists

Factors including baseline heart rate, dose level , cardiovascular fitness, and individual receptor sensitivity all influence the response

In healthy fasting volunteers, 400 mL of decaffeinated coffee (equal to 2.5 mmol chlorogenic acid/l) reduces the glycemic index of meals and elevates GLP-1 levels [25]

Clinical trial data from the SUSTAIN and STEP programs indicate that gastrointestinal adverse effects are common with semaglutide