Management of type 2 diabetes, obesity, or nonalcoholic steatohepatitis with high‐dose GLP‐1 receptor agonists and GLP‐1 receptor‐based co‐agonists

Nov 16, 2023Obesity reviews : an official journal of the International Association for the Study of Obesity

Using high-dose GLP-1 drugs and combined GLP-1 treatments to manage type 2 diabetes, obesity, and fatty liver disease

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Abstract

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are already approved for managing Type 2 diabetes (T2D) and obesity.

  • GLP-1RAs may provide clinical benefits for Type 2 diabetes, obesity, and nonalcoholic fatty liver disease/nonalcoholic steatohepatitis (NAFLD/NASH).
  • Higher doses of GLP-1RAs and novel GLP-1RA-based co-agonists are being evaluated for their potential to reduce glycated hemoglobin (HbA1c) and body weight.
  • Ongoing trials are assessing the impact of high-dose GLP-1RAs and multi-hormonal strategies in populations with T2D, obesity, or NASH.
  • Available trial findings suggest clinical efficacy and safety of GLP-1RAs, aligning with preclinical observations.
  • Expansion of GLP-1R-based drug classes could address the interconnected challenges of T2D, obesity, and NASH.

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