Clinical perspective, offered as context rather than as advice. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.
TirzTom said:The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the…
Adding the part of the answer the thread has not reached. Most of what circulates confidently in this community traces back to one summary of one study, and the qualifier was dropped somewhere in the third retelling.
Adding the numbers, since they settle part of this. The mechanism that matters here is not stomach emptying, it is central. GLP-1 receptor agonism in the arcuate nucleus stimulates POMC neurons and suppresses AgRP/NPY signalling, which is why the effect is appetite and food salience rather than physical fullness. Delayed gastric emptying largely tachyphylaxes over the first months; the appetite effect does not.
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Browse GL BiochemOne thing that is still open after TirzTom’s answer:
How much of the between-person variation is pharmacokinetic and how much is just adherence measured badly?
Moderator note: the sourcing question belongs in the vendor section and has been split out. Carry on.