The pairing logic above is mechanistic and based on CagriSema results
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In contrast, in the Cagri-AMY 1 R-Gs structure, L119 RAMP1 is likely to clash with a rearranged imidazole side chain of H296 ECL2 that is observed when Cagri is bound to CTR and likely accounts for the different orientation of the linker in the Cagri bound AMY 1 R (Fig
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It was removed from the FDA's Category 2 restricted list on April 22, 2026, but that alone doesn't authorize compounding pharmacies to prepare it for human use