10.1016/j.biopha.2020.109834 18 BakD.-H.KimH
Lack of research is a problem here too, Al-Aly emphasized: The best evidence of this hypothetical effect is a preprint study that found that mice sought out their exercise wheel less after being injected with semaglutide
The literature cases are almost all from case reports, which are highly biased towards P/LP variants in rare genes, likely monogenic (disease causal), in cases that are somehow remarkable (e.g., severe CVS phenotype, syndromic), and ascertained from the wider population
It cannot be used in patients with past history or family history of medullary thyroid cancer (MTC), and patients with type 2 multiple endocrine tumor syndrome (MEN2)
Not because GLP-1s are dangerous medications they have among the most robust cardiovascular safety and efficacy data of any metabolic therapy available but because understanding your baseline metabolic state before a significant pharmacological intervention simply produces better outcomes