The way semaglutide works for kidney-related risk reduction is not fully understood
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Up to 1:1 Cu(II):octarepeat molar ratio, this region binds a single Cu(II) ion by four imidazole sidechains of His residues, from 1:1 to 2:1 Cu(II):octarepeat molar ratio, each Cu(II) ion is coordinated by two His sidechains and two amide nitrogens 27 , and possibly an additional carbonyl oxygen 24,25 , where starting from above 2:1 Cu(II):octarepeat molar ratio each His sidechain starts to coordinate a single Cu(II) ion with two amide nitrogen and one carbonyl, from the neighboring Gly, binds a single Cu(II) ion 24,25
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Scientific Backing: Decades of research provide robust evidence of efficacy