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For the newer GLP-1 medications, it would be useful to look at whether there are genetic variants, like the variants in PAM, that explain poor responders to their medications. For now, the mechanism driving GLP-1 resistance remains unresolved, but it is likely complex and multifactorial, Gloyn said

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Of these rare syndromes, THMD3 (also called Amish-type microcephaly or Amish lethal microcephaly) has the more severe phenotype, resulting in a congenital microcephaly, elevated concentrations of -ketoglutarate in urine, and usually death in infancy (121)

Regular reassessment of the risk-benefit balance ensures that therapy remains appropriate as patients' clinical circumstances evolve

Known as glucagon-like peptide-1 receptor agonists (GLP-1RAs), these drugs mimic the natural hormone GLP-1, which binds to and activates GLP-1 receptors in the brain and gastrointestinal tract, regulating blood sugar levels and reducing food intake