Food and Drug Administration (FDA) approved the Wegovy pill: the first oral GLP-1 (glucagon-like peptide-1) receptor agonist cleared specifically for weight management
It contains 31 amino acids with two key modifications: an Aib substitution at position 8 (conferring DPP-IV resistance) and a C18 fatty diacid moiety attached via a linker to Lys26 (enabling albumin binding and extending the half-life to approximately 165 hours)
Addressing issues of increased visceral adiposity accumulation, including in the liver and muscle, in people living with HIV is imperative because they are associated with increased diabetes and cardiovascular disease, McComsey said
The most commonly reported side effects for both agents are gastrointestinal, including nausea, vomiting, diarrhoea, and constipation, particularly during dose escalation
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GLP-1RA could also improve mitochondrial architecture and reduce oxidative stress by lowering the production of reactive oxygen species [69]