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It has undergone numerous human clinical trials (Phase I/II) but has not pursued further regulatory development

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Abbreviations IBD: Inflammatory bowel disease GI: Gastrointestinal CD: Crohns disease UC: Ulcerative colitis T2D: Type 2 diabetes CVD: Cardiovascular disease GLP-1 RA: Glucagon-like peptide 1 receptor agonists CVOT: Cardiovascular outcome trial HF: Heart failure NAFLD: Nonalcoholic fatty liver disease HCC: Hepatocellular carcinoma EEC: Enteroendocrine cell GIP: Glucose-dependent insulinotropic polypeptide TNF: Tumor necrosis factor IL: Interleukin JAK: Janus kinase CCL: C-C motif ligand TGF: Tumor growth factor EGF: Epidermal growth factor KGF: Keratinocyte growth factor HGF: Hepatocyte growth factor cAMP: Cyclic adenosine monophosphate NF-kB: Nuclear factor-kB TCA: T cell activation gene SDF: Stromal cellderived factor M-CSF: Macrophage colony stimulating factor CSMC: Colon smooth muscle cell SSM: Stabilized phospholipid micelles DDS: Dextran sodium sulfate DRA: Downregulated in adenoma BLG: Ban-Lan-Gen ACE: Angiotensin-converting enzyme GPBAR: G proteincoupled bile acid receptor iNKT: Invariant natural killer T cells DPP-4: Dipeptidyl peptidase-4 GLP1/2-Fc: GLP1/2-Fc fusion SCID: Severe combined immunodeficiency disease Ex-4: Exendin-4 IRR: Incidence rate ratio BMI: Body mass index APN: Adiponectin MAT: Mesenteric adipose tissue HFD: High-fat diet TLR: Toll-like receptor NASH: Nonalcoholic steatohepatitis HDL: High-density lipoprotein LDL: Low-density lipoprotein CRP: C-reactive protein PPI: Proton pump inhibitor References Papers of particular interest, published recently, have been highlighted as: Of importance Of major importance Satsangi J, Silverberg MS, Vermeire S, Colombel JF

Paradox One: The Liver Doesnt Have the Receptors Hepatocytes, the dominant cell population in the liver, do not meaningfully express GLP-1R or GIPR

Without guidance from a registered dietitian, that shift can lead to inadequate protein intake and nutrient gaps and further contribute to muscle loss

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