In contrast, treatment with the GLP-1 receptor agonist liraglutide yielded a small improvement in kidney function at the end of the follow-up period [89], and in two large-scale trials, the use of SGLT2 inhibitors was accompanied by a meaningful and durable improvement in glomerular function and a reduction in the risk of serious adverse renal events [56, 58]
It's a silent variable that can invalidate an entire study
Berberine has also been shown to assist weight loss by inhibiting the enzyme lipoprotein lipase, which increases fat storage (6)
If a patient has achieved suboptimal results with one medication, healthcare professionals would typically reassess the overall weight management strategy, including dietary adherence, physical activity levels, psychological factors, and potential barriers to success, before considering switching to an alternative medication rather than adding a second agent