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Chen says it makes sense that these benefits would disappear if someone stops taking the medication, especially in the absence of dietary and lifestyle changes that support heart health
Nonetheless, the common theme is that GLP-1 RAs tend to push the microbiome in a direction associated with metabolic health (greater abundance of SCFA-producing and mucus-associated bacteria, lower abundance of pro-inflammatory organisms), although substantial changes may require prolonged therapy ( Microbiota-derived metabolites and gut hormone signaling SCFAs and GLP-1 crosstalk The gut microbiota and its derived metabolites play a central role in modulating host metabolism, immune function, insulin sensitivity, and overall health ( Among these metabolites, SCFAs (primarily acetate, propionate, and butyrate) act as critical signaling molecules linking microbial fermentation with host energy regulation
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Yu et al 2022)
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