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Its physiological roles include: Slowing gastric emptying (reducing meal-related glucose spikes) Promoting satiety (reducing food intake) Suppressing postprandial glucagon secretion Regulating energy balance Cagrilintide is a long-acting amylin analogue with structural modifications that: Extend half-life for once-weekly dosing Enhance receptor binding affinity Improve pharmacokinetic properties Maintain physiological amylin effects Multi-Receptor Activation Unlike natural amylin, cagrilintide activates three receptor families : 1