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c/glp1science·submitted 9 months ago by u/isabela_nilsen

[Discussion] can we stop arguing about appetite until somebody posts a number

Discussionbranch of 7 comments

Question in the title, detail here: can we stop arguing about appetite until somebody posts a number. The incretin effect is the observation that oral glucose provokes a larger insulin response than intravenous glucose at matched glycaemia, and the difference is mediated by gut hormones. That is the foundation the…

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7 comments, started 9 months ago
u/incretin_ivyMOD52 points·9 months ago

Left up and flaired Explainer. This is the standard of post the board was created for.

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u/amara_dziedzic27 points·9 months ago

a mechanism you can state is not a mechanism you have demonstrated

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u/isabela_nilsenOP15 points·9 months ago·edited

Was completely wrong about the gastric emptying story in a thread here two years ago. Someone corrected me with a citation and I have not made that mistake since.

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u/analog_alphabet12 points·9 months ago

Correction: that is glucose-dependent insulin secretion, which is why hypoglycaemia risk is low as monotherapy. Not the same claim as you made.

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u/isabela_nilsenOP7 points·9 months ago·edited

Went looking for human data on a mechanism everybody here asserts. Found preclinical work and one small study. That was clarifying.

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u/camila_lindqvist14 points·9 months ago

Yes. The discussion section is where the authors say what they actually think, and almost nobody here reads it.

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The mechanism layer: incretin physiology, receptor distribution, gastric emptying, central appetite signalling, glucagon-receptor contribution, amylin co-agonism, and the pharmacokinetics that make weekly dosing possible. Papers get cited by journal and year or they get a [needs source] reply.

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