33 Although decreases in gastric emptying via GLP-1RAs help prevent overnutrition by decreasing nutrient absorption, there is concern that patients could be at risk of nutrient deficiencies driven by malabsorption from delayed gastric emptying
Big pharma has also hit this stumbling blockSanofis shot on goal for a GLP-1 RA was halted in Phase 2 studies due to even higher GI toxicity
Genome-wide association analyses have detected critical polymorphisms in genes regulating hepatic lipid handling, including patatin-like phospholipase domain-containing 3 (PNPLA3) and transmembrane 6 superfamily member 2 (TM6SF2), which promote intrahepatic triglyceride accumulation by impairing lipid remodeling or very-low-density lipoprotein (VLDL) secretion [16,17]
Graefe-Mody U, Huettner S, Sthle H, Ring A, Dugi KA
GLP-1 may also improve organ health via targeting endothelial and vascular smooth muscle cells within multiple organs, cell types that control local blood flow as well as local immunomodulatory actions
This makes weight loss easier and more sustainable