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Source: Psychonautwiki Exendin-4 and exenatide are agonists, so they activate the GLP-1 receptor they act the same as GLP-1 which binds to and activates the GLP-1 receptor

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How this indication expansion will impact the ability for generic manufacturing of sema I am unsure, but my assumption is that generic sem and GLP-1s will be available long before resmetirom

Multiple reviewers describe waiting well beyond the stated 8 to 10 business day timeline