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However, the researchers were unable to confirm whether AMY109 also reduced the pain that the condition causes, or whether it improved fertility

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2.18 Intraperitoneal glucose tolerance tests Mice were lightly fasted (2-3 hours) before the test

So in other words, a GLP-1 agonist may not be chemically exactly the same as the natural hormone in the body, but its close enough that it can bind to that hormones receptor