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421,422 Remarkably, GLP-1R activation in certain nuclei (such as the VTA, NAc, and vHP) elicits reductions in food intake and body weight without concurrent nausea responses

This magnitude of response reinforces the synergistic action of the two incretin mechanisms, responsible for both glycemic control and the modulation of appetite and gastric emptying (Frias et al., 2020

G., La Du, B

The compounds operate through distinct, non-overlapping mechanisms (GLP-1/GIP receptor agonism versus NNMT enzyme inhibition) with no documented receptor competition or adverse pharmacokinetic interactions

[1] [2] Nevertheless, the warning remains in place, and healthcare providers must weigh this potential risk against the substantial metabolic benefits of the medication when making treatment decisions for individual patients
