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This medication works by mimicking the action of the naturally occurring GLP-1 hormone, enhancing glucose-dependent insulin secretion, suppressing inappropriate glucagon release, slowing gastric emptying, and reducing appetite through central nervous system pathways

It represents a new generation of investigational peptides designed to simulate natural hormonal responses involved in glucose metabolism, appetite suppression, and energy balance

Diabetes Care (2012) 35:7317

They probably deserve a fine reputation, but it's weird to me what a terrible reputation Pharma has when they're the ones innovating and trying to massively affect the trajectory of humans