The reviews stress that independent, long-term investigations are essential to inform clinical and public policy decisions and to better establish the role of GLP-1 receptor agonists in long-term weight management
and reduced activity of mitochondrial enzymes (complex I and IV)
Biliary Complications A systematic review of 55 double-blind randomized controlled trials showed that treatment with GLP-1 RAs was associated with an increased risk for cholelithiasis compared to placebo (risk ratio, 1.46), but no increased risk for cholecystitis, cholangitis, or pancreatitis
Future research should concentrate on standardizing processing and encapsulation approaches to enhance sensory acceptance, and strategies such as taste masking, fermentation, and optimized product design will be key to achieving consumer-friendly, bioactive-rich products
Jer S, Handschin C, St-Pierre J, Spiegelman BM (2007) AMP-activated protein kinase (AMPK) action in skeletal muscle via direct phosphorylation of PGC-1