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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOff-TopicGratitude thread — need advice Page 3

Gratitude thread — need advice

TrialNerd_Beth Fri, Dec 6, 2024 at 12:15 AM 12 replies 1,878 viewsPage 3 of 3
Dr.AddMedPHL
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Dec 10, 2024 at 2:13 AM#11
hans_munich said:
Rebound hunger after missed dose of food noise: I missed my injection by 3 days due to a shipping delay and the hunger came ROARING back.

Central vs peripheral GLP-1R signaling in food noise: elegant studies using brain-penetrant vs peripherally-restricted GLP-1 agonists show that ~80% of the weight loss effect is centrally mediated[1].

The key brain regions: arcuate nucleus (appetite), area postrema (nausea), NTS (satiety), VTA/NAc (reward). Peripheral effects (gastric emptying, insulin secretion) contribute but are secondary for weight loss.

This has implications for next-gen drugs: optimizing brain penetration and CNS receptor occupancy may be more important than systemic exposure.

References:
[1] Secher A, et al. J Clin Invest. 2014;124(10):4473-4488.
25 0FitDadDave, RunnerRach, TrialNerd_Beth and 22 others
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chris_chi24
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Dec 10, 2024 at 4:26 AM#12
VendorMark said:
Alcohol relationship change with food noise: I used to drink cocktails most nights.

Thank you for spelling out the reasoning rather than just the conclusion. Sending this to two other people who asked me the same thing last week.

24 24MounjBrad, nick_newbie, DadBodDave and 21 others
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marco_milano
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Dec 10, 2024 at 6:39 AM#13
hans_munich said:
Rebound hunger after missed dose of food noise: I missed my injection by 3 days due to a shipping delay and the hunger came ROARING back.

Careful with the causal language. Two things moving together in a period when five things changed is not a mechanism, and stating it as one makes the thread less useful to somebody reading it later.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Dec 10, 2024 at 10:39 AM
23 23Dr.LipidDallas, alex_tucson, kevin_tulsa and 20 others
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DanielChem_CHI
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Dec 10, 2024 at 8:52 AM#14

Adding the numbers, since they settle part of this. If you are going to change something, change one thing and give it long enough to express itself. Four weeks is the usual minimum for anything pharmacological on this board, and two weeks of data has told you almost nothing.

22 22ben_calgary, patPC_UT, Dr.DermMIA and 19 others
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Admin
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Dec 10, 2024 at 11:05 AM#15

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Report rather than reply if it drifts again.

Last edited: Dec 10, 2024 at 3:05 PM
21 21PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 18 others
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