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Amylins primary physiological roles include: Slowing gastric emptying to reduce the rate of nutrient absorption and postprandial glucose excursions Suppressing glucagon secretion from pancreatic alpha cells, reducing hepatic glucose output Acting on area postrema and nucleus accumbens in the brainstem to reduce food intake and promote satiety Modulating meal size and eating rate through direct CNS effects In individuals with type 2 diabetes and obesity, amylin secretion is frequently impaired contributing to the loss of normal postprandial glucose regulation and satiety signaling