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Animal studies, particularly in rodents, have demonstrated that GLP-1 agonists can stimulate thyroid C-cell proliferation and, in some cases, lead to C-cell tumors (medullary thyroid carcinoma)
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Collectively, these findings position aza-substitution as a rational and intrinsically efficient strategy to stabilize therapeutic peptides while preserving native functionmarking a shift from empirical modification toward data-driven, atom-level peptide design that could simplify manufacturing and reduce development costs for durable peptide therapeutics