Activation of GLP-1 receptors causes appetite suppression, reduces glucagon secretion, boosts insulin secretion (in a glucose-dependent manner), and slows down gastric emptying
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However, when we look at just the first year, we did see an increase in risk
Rare but Possible Side Effects Although rare, some people may experience stronger L-carnitine side effects, particularly if they have pre-existing medical conditions or take high doses for extended periods
If the underlying insulin resistance, metabolic inflexibility, and behavioral drivers arent addressed, the weight always tries to return
Mark Donowitz, Professor of Medicine and Physiology at Johns Hopkins, has stated regarding GLP-1 agonist patients: "Any medication that independently reduces GI motility should be used with caution in patients already experiencing delayed gastric emptying from incretin-based therapies." The Endocrine Society's 2023 Clinical Practice Guideline on pharmacologic management of obesity recommends reviewing all concomitant medications for GI side-effect overlap when initiating GLP-1 receptor agonist therapy [11]