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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOff-TopicI fit into my college jeans and I am not okay (happy tears) — my results so far Page 3

I fit into my college jeans and I am not okay (happy tears) — my results so far

VanRx_Mike Sat, Oct 19, 2024 at 4:43 AM 43 replies 2,235 viewsPage 3 of 9
CryptoCarl
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Oct 19, 2024 at 3:27 PM#11
Dr.GastroMayo said:
labquiet_amy said: ...regarding food noise mechanism of action...

This answered a question I did not know how to ask. Printing the relevant bit and taking it with me.

29 4CryptoCarl, MariaRD, AussieAnna and 26 others
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Dr.PulmRoch
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Oct 19, 2024 at 9:34 PM#12

Adding the clinical framing, because it changes how the question reads.

The GLP-1 and alcohol use disorder connection, relevant to food noise: observational data from Scandinavian registries shows reduced alcohol-related hospitalizations in GLP-1 agonist users[1].

The mechanism is plausible: GLP-1R is expressed in the mesolimbic reward pathway (VTA, nucleus accumbens). Agonism at these receptors may reduce the reinforcing properties of alcohol, similar to the reduction in "food noise."

RCTs for GLP-1 agonists in AUD are now underway. If positive, this would be a paradigm-shifting repurposing of existing medications.

References:
[1] Wang W, et al. Nat Med. 2024;30:574-584.
Last edited: Oct 19, 2024 at 10:34 PM
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JennaRN
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Oct 20, 2024 at 3:41 AM#13
andrew_nyc said:
Neuroscience perspective on food noise: GLP-1 receptors are expressed throughout the CNS, with high density in the hypothalamic arcuate nucleus, area…

I read this differently from andrew_nyc, on substance rather than tone. Not convinced. The evidence being cited is consistent with the conclusion and also consistent with two other conclusions nobody has ruled out.

Last edited: Oct 20, 2024 at 4:41 AM
27 2BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 24 others
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Dr.PathRoch
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Oct 20, 2024 at 9:48 AM#14

The figures, for anyone assembling their own picture. For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine. Half the figures circulating in this community trace back to a secondary summary that dropped a qualifier.

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Admin
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Oct 20, 2024 at 3:56 PM#15

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Report rather than reply if it drifts again.

25 0PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 22 others
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