However, this benefit was not observed in all-cause death, hospitalization for HF, CV death, MI, stroke, and death or hospitalization for HF ( The benefits of GLP-1 RAs in HF may be explained in terms of their weight reduction properties
For instance, the metabolite hydrogen sulfide (H 2 S), which was produced by Desulfovibrio has been shown to impair GLP-1 expression, thereby disrupting host glucose metabolism (Qi et al., 2024)
10.3389/fneur.2021.761912 29 HanM.HuL.ChenY
Bottom line SURMOUNT-4 ended the course-of-treatment story
Yes- RDs and Pharmacists are essential in managing these side effects, given GI side effects are the primary reason people discontinue in year one
Key active ingredients include Chromium and Vanadium