Vagus nerve impact - GLP-1 binds to afferent vagal nerve fibers which sends a signal to the central hypothalamic nuclei that controls nutrient homeostasis - this slows gastric emptying and decreases nutrient absorption by decreasing intestinal contractions
GLP-1Rs are expressed in several regions of the brain and spinal cord that are involved in pain perception and regulation [87]
Oral semaglutide allows daily, under-the-skin intervention while injections occur weekly
The first, and arguably most vital point, is not to double up on any missed doses to 'catch up'
While PONV is common after surgery due to multiple factors, the combination of anesthesia effects and semaglutide's gastrointestinal effects could potentially contribute to nausea in susceptible individuals
Mechanistic data are compelling, yet long-term durability, systemic effects, and patient selection remain open questions