Fortunately, menopause treatment has come a long way
A comprehensive assessment including BMI, metabolic parameters, comorbidities, and previous treatment responses will inform whether these medications represent an appropriate option
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Compared with metformin (the first-line treatment for most patients), GLP-1 receptor agonists generally produce similar or slightly greater HbA1c reductions but with the added benefit of weight loss rather than weight neutrality
However, GLP-1 can activate GCGR in cells, and GCGR is able to reduce the number of docking granules by coupling and activating inhibitory GTP binding protein (Gi/o), thus inhibiting the secretion of glucagon, which is independent of GLP-1R (Gandasi et al., 2024)