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RAMP1 and RAMP3 differentially control amylin's effects on food intake, glucose and energy balance in male and female mice

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Gastric Emptying Modulation Dual Pathway Effect Both components contribute to delayed gastric emptying through complementary mechanisms[5]: GLP3 delays gastric emptying primarily through GLP-1R and glucagon receptor pathways Cagrilintide slows gastric transit through amylin and calcitonin receptor activation Combined effects produce more sustained gastric delay than single agents Prolonged nutrient exposure in the small intestine enhances incretin release This dual-pathway gastric slowing mechanism may explain enhanced satiety and reduced caloric intake observed in combination studies

Engages calcitonin receptorRAMP complexes for receptor specificity: Amylin receptors are heterodimeric complexes composed of calcitonin receptors coupled with receptor activity-modifying proteins (RAMPs)

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