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http://www.DoctorsToTrust.com @doctorstotrust presents episode 2606 | Dr BEN BIKMAN + expert panel Metabolic Health Summit Metabolic Health Summit panel Q&A… Ben Bikman: question on GLP1 drugs: in early research in low dose as anti-diabetic drug, had been lukewarm -primary mechanism of action: glucagon inhibition for one with hyperglycemia, this was a good way of bringing that down -at higher dose, primary mechanism of action is stomach paralysis [much less enthusiastic] One of the mechanism of improving insulin sensitivity from GLP1 drugs could be an induction of adipocyte hyperplasia [vs hypertrophy]. A sister version of the most popular one has been shown to activate hyperplasia [Liraglutide] How? You can be making new fat cells [hyperplasia] and still lose weight due to stomach paralysis… Concern about long term use of drug: substantial reduction of lean mass— again, due to stomach paralysis The day they want to get off of that drug…consider: middle age woman, lost both fat and lean mass on drug -also have increased number of fat cells -off drug: the fat mass will Easily return But, not all negative: If one can use lowest possible dose, and follow low carb diet--they can be fine |||||||||||||||||||||||||||||||| doctorstotrust.com metabolichealthsummit.com benbikman.com original video on here: https://youtu.be/J_AFik8DMoM?si=XHvwjwLJsYeG3o6g We do not use corruptible, epidemiological survey research as causal science. For each short/sharable video, the original Youtube links are provided above. None of this content is intended to be individual, personalized medical advice. We hope you find value for yourself in these videos & find them easy to share with loved ones! DISCLAIMER The DoctorsToTrust videos are for general informational purposes only and do not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

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