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Pure GLP-1 agonists such as semaglutide do not reliably move LDL

Every 5 kg of weight loss independently reduces systolic blood pressure by approximately 3 to 5 mmHg, reduces triglycerides, improves HDL cholesterol, reduces insulin resistance, decreases systemic inflammation, and reduces mechanical strain on the heart

Does Akkermansia directly increase GLP-1 levels
Among individual GLP-1 RAs, exenatide exhibited the longest median time to onset at 45 days (IQR = 11213 days), while dulaglutide had the shortest at 7 days (IQR = 29 days), liraglutide at 16 days (IQR = 5.561 days), semaglutide at 12 days (IQR = 445.5 days), and tirzepatide at 10 days (IQR = 235.5 days)

The overall mechanisms of GLP-1 agonists on weight loss are predominantly through the reduction in energy intake and not on energy expenditure
