The main mechanism of the therapeutic effect of GLP-1R agonists in obesity is considered to be via reduced calorie intake, and this is also considered to be true for their therapeutic effects on MASH 2
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Before recommending semaglutide, tirzepatide, or another medically supervised weight-loss strategy, a physician may review weight history, prior weight-loss attempts, BMI, waist circumference, body composition goals, A1C, fasting glucose, insulin-resistance risk, cholesterol, triglycerides, blood pressure, liver enzymes, fatty liver risk, kidney function, current medications, diabetes medication use, history of pancreatitis, gallbladder disease, gastrointestinal symptoms, thyroid history, protein intake, exercise habits, sleep quality, hormonal symptoms, inflammation-related concerns, side-effect tolerance, and long-term maintenance planning
10.1016/j.arr.2019.100942 77 FarB
They can cost up to $1,200 or more per month