Abbreviations T2DM: Type 2 Diabetes Mellitus GLP1: Glucagon-like peptide1 GIP: Glucose-dependent insulinotropic polypeptide HbA1c: Hemoglobin A1c GLP1RAs: Glucagon-like peptide1 receptor agonists GIPR: Glucose-dependent insulinotropic polypeptide receptor GLP1R: Glucagon-like peptide1 receptor CVD: Cardiovascular Disease MACE: Major Adverse Cardiovascular Event HF: Heart Failure HFrEF: Heart Failure with Reduced Ejection Fraction HFpEF: Heart Failure with Preserved Ejection Fraction ASCVD: Atherosclerotic Cardiovascular Disease CVOTs: Cardiovascular Outcome Trials SA: Sinoatrial ICAM-1: Intercellular Adhesion Molecule 1 GDF15: Growth Differentiation Factor 15 CRP: C-reactive protein LPS: Lipopolysaccharide TLR4: Toll-like receptor 4 NLRP3: NOD-like receptor protein 3 TNF-: Tumor Necrosis Factor-alpha IL-1: Interleukin-1 beta IL-6: Interleukin-6 TUNEL: Terminal deoxynucleotidyl transferase dUTP nick end labeling BCAA: Branched-chain amino acids BCKA: Branched-chain ketoacids HOMA2-IR: Homeostasis Model Assessment of Insulin Resistance LDL: Low-Density Lipoprotein VLDL: Very Low-Density Lipoprotein BP: Blood Pressure References Willard FS, Douros JD, Gabe MB, Showalter AD, Wainscott DB, Suter TM, Capozzi ME, van der Velden WJ, Stutsman C, Cardona GR et al

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C., Barua L., Yang Y., Guo L., St-Arnaud R., Dedhar S., Wu C., Michalopoulos G
Always consult your DirectMeds provider before making significant dietary changes
If some patients struggle at 5 mg of oral semaglutide #Rybelsus, its fair to ask how well higher-dose oral #Wegovy will be tolerated in real-world practice