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The critical objective for the next phase of research is not to redundantly prove weight loss efficacy, but to determine whether and through which pathways these gains translate into benefits for hard reproductive endpoints

When cortisol stays elevated, it can interfere with the SCFA-driven signals and the circadian timing that normally support healthy GLP-1 activity, which may leave appetite harder to regulate

Notably, letrozoles short half-life (~2 days) means the drug is largely cleared before the phase of human fetal organogenesis [13]

As experts have previously told Inverse , GLP-1 agonists also affect appetite neural pathways associated with the reward and pleasure aspects of eating, which is likely how these drugs can have secondary cognitive effects like curbing addictive behaviors

Clinically, this is known as telogen effluvium and has been seen in some GLP-1 patients
