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The Glucagon Paradox The glucagon paradox refers to the unexpected possibility that a hormone traditionally associated with raising blood glucose may enhance weight loss when incorporated into balanced multi-receptor agonists

Glucagon-like Peptide-1 receptor agonists activate rodent thyroid C-cells [low GLP-1R expression in human C-cells]
This action makes these agents a therapeutic option for weight loss.56 Although to a lesser extent, delay in gastric emptying contributes to the anorexigenic effect.61 Clinical trials conducted with GLP-1 receptor agonists in patients with obesity (or excess weight [BMI 27] with comorbidities), or with DT2 and excess weight or obesity, have achieved weight reductions greater than those reported for orlistat, as well as those observed with oral antidiabetic agents such as the sodium glucose type 2 cotransporter inhibitors (SGLT2i) or metformin.62 In a meta-analysis of more than 10 000 patients with obesity, those treated with GLP-1 receptor agonists lost, on average, 7kg more than those in the control group.63 Weight loss of up to 15% has been observed after 12 months of treatment,64,65 a level that had only been achieved through surgical methods

Individual marketplace plans in California follow Covered California formulary guidelines, which may differ from employer plans

Univariate analysis provides a straightforward assessment of individual features, highlighting those with significant differences between groups
