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c/glp1science·submitted 1 year ago by u/ferran_dahlberg

[Discussion] gastric emptying is doing more work than we give it credit for

Discussionbranch of 7 comments

gastric emptying is doing more work than we give it credit for. I have gone back and forth on this for months. The mental model, in four steps, that makes the rest of this site legible. One: gut hormones amplify the insulin response to food. Two: agonists at those receptors act peripherally on insulin secretion and…

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7 comments, started 1 year ago
u/slow_logbook41 points·1 year ago

receptor distribution is why the side effects are where they are

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u/kavya_kravchenko-33 points·1 year ago

Was completely wrong about the gastric emptying story in a thread here two years ago. Someone corrected me with a citation and I have not made that mistake since.

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u/ferran_dahlbergOP1 point·1 year ago

The half-life explanation was the thing that made weekly dosing intuitive for me rather than arbitrary.

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u/aksel_palacios1 point·1 year ago

Not convinced by the linearity assumption. Dose-response in this class is not linear and the trials show it.

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u/ilias_kaufmann0 points·1 year ago

Yes. The central component is the one that explains the reports on this site better than gastric emptying does.

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u/ferran_dahlbergOP1 point·1 year ago

Does the effect persist with continued dosing or does tolerance develop?

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u/ferran_dahlbergOP22 points·1 year ago

That study was in a rodent model. Worth stating, since the thread has been reading it as human data.

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The mechanism layer: incretin physiology, receptor distribution, gastric emptying, central appetite signalling, glucagon-receptor contribution, amylin co-agonism, and the pharmacokinetics that make weekly dosing possible. Papers get cited by journal and year or they get a [needs source] reply.

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