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[1] The gastrointestinal effects of these medications, including delayed gastric emptying, can contribute to constipation

reported that in hippocampal slices in seizure-induced SpragueDawley rats, exendin939, a GLP-1 receptor antagonist, significantly decreased GABA A Rbeta2/3 expression and increased GluR expression (ie, GluA14, GluN1, GluN2A, GluN2B).Reference Wen, Wu, Xie, Dan, Zhan and Shi 48 When samples were treated with GLP-1 RA, there was increased GABA A R2/3 expression and decreased GluR expression.Reference Wen, Wu, Xie, Dan, Zhan and Shi 48 Overall, the included studies support that GLP-1 RAs may be associated with increased glutamatergic receptor activity via multiple cellular and molecular mechanisms (Figure 2)

Does cortisol actually suppress GLP-1

In a survey from Business Group on Health, a nonprofit that works with companies and policymakers to reduce employee healthcare costs, nearly 80% of employers said GLP-1 drugs are a primary factor driving up premiums for employer-sponsored health benefits

That question has largely been answered

BIBLIOGRAPHY 1 - Tirzepatide PI 2 - PMID 34170647 - Tirzepatide versus Semaglutide Once Weekly in Patients with Type 2 Diabetes, NEJM (2021) 3 - PMID 35133415 - Effect of Subcutaneous Tirzepatide vs Placebo Added to Titrated Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes: The SURPASS-5 Randomized Clinical Trial, JAMA (2022) 4 - North Carolina Pharmacy Practice Act