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ForumsOral GLP-1 AgonistsOrforglipron and hepatic first-pass metabolism — anyone have experience? Page 7

Orforglipron and hepatic first-pass metabolism — anyone have experience?

Dr.EM_Chicago Tue, Nov 5, 2024 at 6:59 PM 44 replies 1,967 viewsPage 7 of 9
Dr.SportsMedIN
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Nov 6, 2024 at 4:54 AM#31

To answer robert_kc's question specifically:

From a clinical standpoint, Orforglipron and hepatic is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

19 11lucas_SP_BR, lisa_labSD, adam_van and 16 others
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nick_SD_fit
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Nov 6, 2024 at 5:11 AM#32
NicoleRaleigh said:
5%, triglycerides 213 → 113 mg/dL, hsCRP 8

This is exactly right. NicoleRaleigh articulated what I have been trying to explain to my doctor for months. The Orforglipron and hepatic aspect is the most important factor.

5 22Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 2 others
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Dr.EM_Chicago
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Nov 6, 2024 at 5:28 AM#33

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Orforglipron and hepatic.

To answer Dr.EM_Chicago: I started tracking everything in a spreadsheet from day 1.

Quick update: I will post a proper update thread soon. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

46 5Dr.ReproEndo, lucas_SP_BR, lisa_labSD and 43 others
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KetoKyle
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Nov 6, 2024 at 5:45 AM#34
robert_kc said:
Top-tier content

This is exactly right. robert_kc articulated what I have been trying to explain to my friends for months. The Orforglipron and hepatic aspect is what made the difference for me.

36 3Dr.GastroMayo, JakeBK_lifts, DerekSJ_a1c and 33 others
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RegAffairsDC
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Nov 6, 2024 at 6:02 AM#35

This thread is incredible for Orforglipron and info. Better than most online groups.

Last edited: Nov 6, 2024 at 8:02 AM
4 18gary_naperville, sean_dublin, hannah_MT and 1 other
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