When patients experience early appetite control, thats the ideal time to help them: build a new relationship with food work closely with a dietitian identify healthier substitutes rebuild self-esteem and eventually detach from the belief that the medication alone caused the success GLP-1 RAs are incredible tools, but we should use that early momentum to create a sustainable reset not a dependency
In the absence of population-specific data, clinical use should be accompanied by vigilant monitoring for class-wide effects (particularly gastrointestinal symptoms) and agent-specific concerns, with dose titration individualized to tolerability
Thomsen et al
The direct action of GLP-1 which can also be demonstrated in the perfused pancreas, with isolated islets and with beta cell derived cell lines involves activation of the beta cell GLP-1R which couples through the heterotrimeric G-protein Gs to activate adenylyl cyclase and increase intracellular cAMP (27, 65)
A different formulation of liraglutide (Saxenda, 3 mg) is licensed for weight management, but Victoza itself is specifically for diabetes treatment
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