Beyond glycemic control, GLP-1 receptor agonists act on appetite centers in the brain, particularly the hypothalamus, reducing hunger signals and promoting feelings of fullness
Insulin resistance can lead to chronically elevated insulin levels, which dont just affect your metabolism
doi:10.1007/s13730-020-00447-z Brennan R, Wells JG, Van Hout MC
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If you cannot tolerate 2.4mg, your doctor may reduce the dose to 1.7mg
The article names phentermine and phendimetrazine as sympathomimetics acting through overlapping appetite pathways, and distinguishes them from direct GLP-1 agonists such as liraglutide and semaglutide