FIGURE 1 3 Pharmacology and central nervous system mechanisms The therapeutic potential of semaglutide within the central nervous system (CNS) is intrinsically associated with the distribution and function of its target, the glucagon-like peptide-1 (GLP-1) receptor, as well as the drugs distinctive pharmacological properties that influence its interaction with the brain
This does not mean every patient has to give up alcohol
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Experimental evidence clearly demonstrates that GLP-1RAs such as liraglutide and semaglutide enhance AMPK activity, leading to increased expression of genes involved in mitochondrial fatty acid oxidation and diminished lipogenesis ( Concomitantly, GLP-1RAs suppress the expression of lipogenic transcription factors and enzymes, including sterol regulatory element-binding protein 1c (SREBP-1c) and fatty acid synthase (FAS), resulting in reduced de novo lipogenesis
But additional mice experiments showed glucagon has an effect of increasing energy expenditure, which leads to weight loss
It hasn't been a major problem in trials, but its being monitored