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Clearly, distinct sequence and structural features of tirzepatide and peptide 20 allow them to exert combinatorial agonism at two or more receptors at the same time thereby maximize the benefit of polypharmacology and minimize the limitation of mono-targeting

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Intracellular ROS production Intracellular reactive oxygen species (ROS) levels were measured in treated cells using the oxidant-sensitive probe 2,7dichlorofluorescein diacetate [H 2 DCFDA] 11