Outcome studies show that GLP-1 medicines reduce rates of complications associated with T2D and/or obesity, including cardiovascular diseases, metabolic dysfunctionassociated liver diseases, chronic kidney disease, osteoarthritis, and obstructive sleep apnea (Figure 1)
Instead, GLP1 therapies make moderation feel effortless
However, these issues can sometimes be circumvented, for example through N -alkylation, 8 inclusion of D-amino acids or use of disulfide, ring closing metathesis (RCM) or lactam formation as cyclisation approaches
20 AT 1a receptors are also expressed in the liver, adrenal gland, ovary, heart, aorta, lung, testis, brain, adipose tissue and vascular smooth muscle, whereas AT 1b receptors are confined to the adrenal gland, brain and testis
Many patients prefer tablets over injections, but questions remain about absorption, timing, and long-term safety
In our previous study, the decrease in eGFR was slower in patients treated with SGLT2i than in those treated with GLP1Ra during monotherapy (Kobayashi et al., 2022)