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4 Discussion Current evidence strongly supports the efficacy of GLP-1 receptor agonists for inducing substantial weight loss, improving metabolic control, and reducing cardiovascular risk often surpassing the short-term effects of exercise alone ( Exercise and lifestyle interventions, while generally less potent for weight loss, provide unique and irreplaceable health benefits preserving skeletal muscle, improving cardiorespiratory fitness, enhancing psychological well-being, and lowering chronic disease risk ( Hybrid care models that integrate pharmacotherapy with behavioral support are emerging as the most promising framework for sustainable obesity and diabetes management ( Persistent challenges include the high cost and limited accessibility of GLP-1RAs, variable long-term adherence, and a lack of long-term data on sustainability, relapse rates, and overall health outcomes
A, Diagram of the proglucagon gene and encoded mRNA
Raevens S, Van Campenhout S, Debacker PJ, Lefere S, Verhelst X, Geerts A, et al
Gallbladder disease: GLP-1-based medications, particularly those approved for weight management, carry an increased risk of gallbladder disease, including gallstones and cholecystitis