Access can change as evidence and regulatory decisions change
You are unlocking an entirely new metabolic pathway
Fiber is a particular concern given that the keto diet restricts many fiber-rich foods such as whole grains, fruits, vegetables, and beans
Improved insulin sensitivity , stabilizing blood sugar levels
Since control of diabetes and obesity are significant health outcome risk factors, it is conceivable that the shortages and high cost of GLP1 agonists will exacerbate existing health disparities. David Cutler, MD His perspective echoed what Ma told us, namely that [o]ne of the biggest bottlenecks with GLP-1RA access is cost and insurance. Even if a doctor prescribes [this type of drug], patients cannot obtain it if their insurance does not cover it, which could worsen disparities, especially for those with public insurance or in underserved populations, he also emphasized
These agents bind to GLP-1 receptors expressed throughout the body, including pancreatic beta cells, the gastrointestinal tract, and central nervous system regions involved in appetite regulation