Opportunities to optimize lifestyle interventions in combination with glucagon-like peptide1based therapy
GLP-1 receptor agonists such as semaglutide (marketed under brand names Ozempic, Wegovy, and Rybelsus) and the dual GIP/GLP-1 agonist tirzepatide (marketed under brand names Mounjaro and Zepbound) are FDA-approved prescription medications for specific uses in type 2 diabetes management and, in some cases, chronic weight management
The 2023 SURMOUNT-1 trial tested tirzepatide at 5 mg, 10 mg, and 15 mg weekly doses but did not include split-dosing arms (Jastreboff et al., NEJM 2022)
Importantly, we found that addition of FXR-antagonistic BAs, including TMCA, HDCA or UDCA, could antagonize the effect of CDCA, a potent FXR agonist, on the mRNA expression of Shp and GLP-1 secretion in NCI-H716 cells (Fig
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