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The latter includes both central homeostatic (energy-intake-focused) and non-homeostatic (reward-focused) regulation of food consumption in the hypothalamus and nucleus of the solitary tract [[268], [269], [270], [271]], influenced by a relatively small amount of GLP-1 that crosses the blood-brain barrier and, more notably, GLP-1 modulation of vagal afferent neurons [268]

time savings) but cite obstacles such as unfamiliarity, specialty drug complexity, and legacy workflows ( [12] )

Many promising preclinical approaches to preserve beta cells, relieve insulin signalling pinch points or directly modify intermediary metabolism have been stalled by unwanted off-target effects and have not proceeded through clinical development