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Further, active forms of GLP-1, as well as inactive metabolites, are rapidly eliminated by the kidneys ( The short half-life of endogenous GLP-1 has led to the development of GLP-1 receptor agonists (GLP-1RAs) and DPP-4 inhibitors as therapeutic strategies to extend the duration of GLP-1 action in the treatment of type 2 diabetes ( GLP-1 receptor agonists The first approved GLP-1 receptor agonist (GLP-1 RA) was exenatide in the United States of America (USA) in 2005 and in Europe one year later