It would reshape the market for treating specific cardio-metabolic conditions, potentially shrinking the downstream commercial opportunity if the CV risk baseline was reset by an upstream intervention focussed on weight management
Theyre metabolically healthy enough to tolerate gradual caloric reduction, they dont have severe kidney disease (since semaglutide is renally cleared), and they have the support or resources to maintain adequate protein intake and physical activity during treatment
Myalgic encephalomyelitis/chronic fatigue syndrome and gulf war illness patients exhibit increased humoral responses to the herpesviruses-encoded dUTPase: Implications in disease pathophysiology
PMID 21475707
It may be that in these patients, leptin supplementation is required to fully normalise appetite control but that GLP-1R agonists would permit a much lower dose of leptin to achieve this
Semaglutide weighs approximately 4,113 daltons, and tirzepatide weighs 5,808 daltonsboth positioned at or above the threshold where milk transfer becomes negligible