Estimate of bariatric surgery numbers, 20112022 [Internet]
GLP-1 therapy addresses metabolic dysfunction, insulin resistance, and cardiovascular risk that exist independently of weight
GLP-1 receptor agonist medications (including semaglutide, dulaglutide, liraglutide, exenatide, and lixisenatide) are typically considered for type 2 diabetes when: Triple therapy with other diabetes medications is not effective, not tolerated, or contraindicated The person has a BMI 35 kg/m (adjusted by 2.5 kg/m for people from South Asian, Chinese, other Asian, Black African, or African-Caribbean backgrounds) and specific weight-related psychological or medical problems A lower BMI threshold may be appropriate if weight loss would benefit other obesity-related comorbidities Insulin would not be appropriate or acceptable to the person Treatment is usually continued only if there is a beneficial metabolic response (reduction in HbA1c and weight) after 6 months
Acquisition, analysis of interpretation of data: all authors
Semaglutide (20 mg) is a synthetic peptide commonly studied in metabolic and endocrine research
If someone with a history of aortic surgery has melena, they need to be checked for this right away