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ForumsOral GLP-1 AgonistsOrforglipron and hepatic first-pass metabolism — need advice Page 2

Orforglipron and hepatic first-pass metabolism — need advice

NicoleRaleigh Thu, Feb 22, 2024 at 5:04 AM 10 replies 2,033 viewsPage 2 of 2
Dr.ObesityLA
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Feb 22, 2024 at 6:56 AM#6
Dr.NateNeph said:
The liver data is among the strongest non-weight findings in the class.

I read this differently from Dr.NateNeph, on substance rather than tone. Small molecule does not automatically mean cheap. Price is set by what the market will bear and by patent life, not by cost of goods, and I would not assume the savings reach patients.

Last edited: Feb 22, 2024 at 7:56 AM
43 13zoe_NC, Dr.ObesityLA, NurseKim_ATL and 40 others
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Dr.PathRoch
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Feb 22, 2024 at 7:40 AM#7

One concrete data point for the thread. With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most threads assume.

42 12InsuranceTom, WendyG_ATL, SaraMom3 and 39 others
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Dr.NephBHM_UK
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Feb 22, 2024 at 8:24 AM#8
Dr.ObesityLA said:
Small molecule does not automatically mean cheap.

Coming at Dr.ObesityLA’s question from a different direction. The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either. Those three things can all be true at once, and most arguments here are two people holding different parts of that.

Last edited: Feb 22, 2024 at 2:24 PM
41 11PharmacoVig_BOS, SurmountFan_IN, PeptideChemSF and 38 others
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maya_sedona
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Feb 22, 2024 at 9:08 AM#9

A narrower follow-up, since the general answer is now clear:

Whether normalised enzymes tell you anything about fibrosis, and what the right follow-up measurement is?

40 10MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 37 others
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NicoleRaleigh
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Feb 22, 2024 at 12:38 PM#10

OP back with an update, since a thread like this is useless without one.

Coming back a few months on. It held. Nothing dramatic to report, which is the report.

Last edited: Feb 22, 2024 at 1:38 PM
10 10mike_nyc, VendorMark, COA_Karl and 7 others
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