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Single comment threadYou are looking at one branch of appetite: what the trials say vs what this community says — 38 comments in the full submission. View in context.
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c/glp1science·submitted 5 months ago by u/aleksi_eriksen

appetite: what the trials say vs what this community says

Discussionbranch of 9 comments

Posting this as a discussion rather than a claim: appetite: what the trials say vs what this community says. Tolerance to the gastric effect develops with continued exposure while the appetite effect largely persists. That single fact explains most of the "it settles but it still works" pattern the side-effect board…

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9 comments, started 5 months ago
u/viktor_girard71 points·5 months ago

Agreed that receptor distribution is the key to the side-effect map. It is not a mystery, it is anatomy.

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u/camila_mensa103 points·5 months ago

receptor agonism is not the same as receptor activation in every tissue

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u/wholesome_lurker71 points·5 months ago

Disagree. That is a preclinical finding in a rodent model and you are stating it as human pharmacology.

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u/dose_creep_dan49 points·5 months 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/aleksi_eriksenOP39 points·5 months ago

Read the primary paper after arguing about the summary for a fortnight. The discussion section said almost the opposite of what the thread had concluded.

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u/bastian_eriksen44 points·5 months 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/employer_carveout0 points·5 months ago

Was completely wrong about the gastric emptying story in a thread here two years ago.

Disagreeing with this specific inference — that is a preclinical result being read as human pharmacology.

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u/yannick_barros43 points·5 months ago

Agreed that receptor distribution is the key to the side-effect map.

This is the concept everything else on this board is downstream of.

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u/mod_ambulatoryadmin16 points·5 months ago

Citations welcome and expected here — this is the one board where "source?" is a compliment.

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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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