GLP-1 infusion increases natriuresis by reducing tubular sodium reabsorption and reduces hyperfiltration in obese subjects.50 Chronic treatment with arGLP-1 in patients with DM2 has shown no effect on measured GFR and effective renal plasma flow in the fasting or postprandial state, however it maintains its natriuretic effect.51 GLP-1 and its agonists induce natriuresis by inhibition of the Na+/H + exchanger type 3 in the proximal tubule, although interactions with the renin, insulin, or glucagon system cannot be excluded5254 because they reduce circulating levels of RAS components51,5355 (Fig
Zepbound is slightly superior to Wegovy because it mimics not only the GLP-1 hormone, but also a second gut hormone (GIP), which increases insulin sensitivity
Shahmohamadi E et al
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Not only were depression and anxiety improved with some of these medications, they actually seem to help suicidality, he says