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Fernndez Olmo MR, Cordero Fort A, Torres Llergo J, Marzal Martn D, Baquero Alonso M, Martnez Quesada M, et al
Importantly, a GLP-1 receptor antagonist blocked these response patterns, supporting the idea that these effects were indeed mediated by GLP-1 receptors (ten Kulve et al., 2017)

Several practical factors may explain fatigue during GLP-1 therapy: Reduced food intake due to appetite suppression can lead to lower energy consumption Gastrointestinal side effects like nausea can be physically draining Adaptation to metabolic changes as your body adjusts to the medication For people with diabetes who take insulin or sulfonylureas (like gliclazide) alongside GLP-1 medications, low blood glucose (hypoglycaemia) may cause fatigue
While GLP-1 works by enhancing the bodys natural signaling after a meal, amylin works continuously to quietly reduce the mental noise of food cravings throughout the day

[DOI] [PubMed] [Google Scholar] 103.Brenta G, Di Fermo F

If blood sugar levels remain uncontrolled despite lifestyle changes and oral medications, GLP-1 RAs are recommended as the preferred first injectable glucose-lowering therapy, even before insulin
