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However, in a sensitivity analysis of the REWIND study with dulaglutide, the relative risk reduction for a 40% or 50% decrease in eGFR was 30% and 44%, both significant, in the dulaglutide group compared to placebo, respectively.92 This lower risk of developing macroalbuminuria was also confirmed in an exploratory analysis of the ELIXA (lixisenatide) study.93 In the EXSCEL study (exenatide LAR), renal episodes were analyzed as additional microvascular episodes, and no differences were observed in the risk of episodes related to decreased eGFR, but differences were observed in the composite episode, which included decreased eGFR and macroalbuminuria, although only after adjustment94 (Table 2)
Metformin, a cornerstone diabetes medication, does not directly interact with GLP-1 agonists but can amplify nausea when both are started simultaneously
What Does the Evidence Say About Microdosing for Fat Loss Clinical trials proving GLP 1 benefits were performed in people with obesity using full therapeutic doses not microdosing glp 1 or tirzepatide microdosing
Does the time on, time off rule always apply
There are now three pathways for cardiometabolic indications: Type 2 diabetes
