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First, GLP-1RA can activate the first messenger adenylate cyclase (AC) after binding to the receptor, which stimulates an increase in the secretion level of the intracellular second messenger cyclic adenosine phosphate (cAMP) and subsequently activates the intracellular secondary messenger protein kinase A (PKA) (48)

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For pharma companies aiming to satisfy this surging demand, the choice of delivery mechanism and delivery partner will have implications for supply chain capacity and resilience