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Cause 3: Low Fiber Intake Dietary fiber plays a central role in digestive health
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Loss of potency : If a pen is left unrefrigerated for too long or exposed to high heat, it may no longer work as intended

Structure Therapeutics reported Phase 2 data in March 2026 from its aleniglipron programme showing weight loss of up to 16.3% at 44 weeks, the highest efficacy yet reported for an oral small-molecule GLP-1 receptor agonist at that time point

These molecular changes suggest that GLP-1 exposure during pregnancy may negatively impact neurodevelopment, potentially leading to cognitive and behavioral disorders in offspring

Another oral, non-peptide GLP-1 RA (lotiglipron) has also been withdrawn from development as in early phase clinical trials resulted in elevated liver enzymes which could indicate liver toxicity [30]
