(PubMed) Michaud DS, Spiegelman D, Clinton SK, Rimm EB, Willett WC, Giovannucci EL
The bear case: the core growth engine faces systemic pressure Regulatory risk becomes the new normal: the FDAs stance may be only the beginning, and the compounded-drug model could remain under sustained pressure
For instance, In July 2024, the MHRA approved Semaglutide, a GLP-1 receptor agonist, to reduce the risk of major cardiovascular events in obese or overweight people, underscoring its expanding benefits beyond glycemic control In December 2023, Eli Lilly and Company launched Zepbound (tirzepatide), the first dual GIP/GLP-1 receptor agonist for chronic weight management in adults with obesity or other weight-related medical problems such as hypertension, dyslipidemia, type 2 diabetes mellitus, obstructive sleep apnea or cardiovascular disease Together, such developments are reshaping the role of GLP-1 analogues from single-purpose treatments to comprehensive metabolic health solutions
Mutating this residue to an alanine shows a similar increase in carnitine K M as the mutants above (Fig