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Updated: Nov 29, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Obesity and GLP-1
Alejandra Perez-Montes DE Oca1, Silvia Pellitero2, Manel Puig-Domingo1
1Department of Endocrinology and Nutrition, Germans Trias i Pujol University Hospital and Research Institute, Autonomous University of Barcelona, Badalona, Spain.
Abstract:
Obesity is an important public health issue that has been on the rise over the last decades. It calls for effective prevention and treatment. Bariatric surgery is the most effective medical therapy for weight loss in morbid obesity, but we are in need for less aggressive treatments. Glucagon-like-peptide-1 receptor agonists are a group of incretin-based drugs that have proven to be productive for obesity treatment. Through activation of the GLP-1 receptor they not only have an important role stimulating insulin secretion after meals, but with their extrapancreatic actions, both peripheral and central, they also help reduce body weight by promoting satiety and delaying gastric emptying. Liraglutide in a dose of 3 mg is currently the only drug of this group that is approved by the FDA to treat obesity, with weight losses up to 8.5 kg in relatively short periods of time. Here we review the data so far collected of GLP-1 use for obesity with and without diabetes, including the recent data of oral semaglutide.
Insights
Glucagon-like-peptide-1 receptor agonists offer an effective, less invasive treatment for obesity. These incretin-based drugs promote weight loss by increasing satiety and slowing digestion.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Pharmacology
Background:
- Obesity is a growing global public health concern requiring effective interventions.
- Bariatric surgery is effective for morbid obesity but is invasive.
- Less aggressive treatment options for obesity are needed.
Purpose of the Study:
- To review the efficacy of glucagon-like-peptide-1 (GLP-1) receptor agonists for obesity treatment.
- To discuss GLP-1 use in patients with and without diabetes.
- To include recent findings on oral semaglutide for obesity.
Main Methods:
- Review of existing clinical data and studies on GLP-1 receptor agonists for weight management.
- Analysis of pharmacological actions of GLP-1, including insulin secretion, satiety, and gastric emptying.
- Inclusion of data from trials involving liraglutide and semaglutide.
Main Results:
- GLP-1 receptor agonists demonstrate significant weight loss effects.
- Liraglutide (3 mg) is FDA-approved for obesity treatment, yielding up to 8.5 kg weight loss.
- GLP-1 agonists exert peripheral and central effects contributing to weight reduction.
Conclusions:
- GLP-1 receptor agonists represent a promising therapeutic class for obesity management.
- These agents offer a valuable alternative to more invasive treatments.
- Ongoing research, including oral semaglutide, continues to expand treatment options for obesity.
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