GLP-1 works on multiple fronts: it enhances insulin secretion, inhibits glucagon production (reducing blood sugar), and delays gastric emptying, which leads to increased feelings of fullness (satiety)
Gastric sleeve surgery achieves weight loss through multiple mechanisms: it mechanically restricts food intake by reducing stomach volume, removes the fundus (which produces the hunger hormone ghrelin), and alters gut hormone secretion
We think this will be important for people who are obese who also have MASH, a form of fatty liver disease, says Mehmet Furkan Burak, MD , an endocrinologist at Harvard Medical School who has done research on weight-loss medications
Also, another condition may cause or contribute to the symptoms
Practice Point 4.3.1: The choice of GLP-1 RA should prioritize agents with documented cardiovascular benefits