The necessity for apical glucose transport is demonstrated in Sglt1 / mice, where glucose-stimulated GIP secretion is eliminated and levels rise only to the same extent as observed in the saline control (Gorboulev et al., 2012)
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Hills research does suggest that, while the API is a minor cost component compared to the pen in an injectable formulation, the need to dose daily for a higher API load in a pill makes orals pricier to manufacture than injectables, further raising the competitive advantage of manufacturing small molecule alternatives, such as Lillys orforglipron