Insulin resistance in adolescents and youth with type 1 diabetes: A review of problems and solutions
The oxidative stress is the result of the imbalance of the antioxidant system in favor of prooxidants, which interferes with the GSH/GSSG system in the antioxidant defense and the regulation of gene expression, the synthesis of DNA and proteins, cell proliferation and apoptosis, and cytokine production and protein glutathionylation, due to alteration of certain cellular functions
Additionally, any sudden change in bowel habit, particularly in individuals aged 60 years or older, or those with alarm features such as unintentional weight loss (beyond that expected from Wegovy), rectal bleeding (especially in those aged 50 or over), or severe abdominal pain, warrants prompt medical assessment to exclude serious underlying pathology
Tirzepatide is the most direct comparison, operating as a dual GIP/GLP-1 receptor agonist