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Of note, we have found here a similar protein-protein interaction between SPHKAP and GIP-stimulated GIPR, suggesting that compounds such as tirzepatide, which target the GLP-1R as a biased, but the GIPR as a balanced agonist, might present with an optimal signalling profile by means of maximising prolonged plasma membrane signalling from the GLP-1R while at the same time engaging in GIPR-dependent acute ER signalling

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Finally, there were safety and generalizability limitations