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New or worsening reflux symptoms that don't respond to simple measures should be discussed, as GLP-1 medications are not recommended in severe gastrointestinal disease

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However, how much relative GIPR to GLP-1R agonism is optimal, and whether biased agonism is rending a unique virtue to the clinical efficacy of tirzepatide are challenging, but tractable, questions requiring additional study

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Clinical studies suggest that adherence to injected semaglutide is 39-67% for type 2 diabetes patients at one year, and 40% for patients who take the drug for weight loss

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This is why reducing visceral fat specificallynot just total weight lossmatters for preventing chronic disease

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In addition, the leptin-receptor-expressing (LepR) neural activity in the dorsomedial hypothalamus (DMH), which sends GABAergic inhibitory inputs to ARC AgRP neurons, is also known to be rapidly increased by sensory detection, the taste of food, or food cues [48,53,54]

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