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Taken together, these pharmacokinetic findings indicate that the centrally mediated effects of GLP-1RAs are likely due to limited brain penetration or action at sites adjacent to the BBB, rather than widespread distribution throughout the central nervous system

28 Wnt signaling was associated with carriage of the A allele of the rs2069502 CDK4 SNP (including a 1.5-fold change in expression of -catenin, a primary modulator of WNT signaling and a concomitant 1.4-fold change in expression of TCF4 , a developmental transcription factor that is a downstream target of WNT (Table 4, Supplementary Figure S4)

So next time you spot that old bottle in your gym bag, give it a quick look, maybe a sniff

Semaglutide remains the best-tolerated option at 6.9% discontinuation