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(https://isappscience.org/wp-content/uploads/2025/07/Greiner-cover.png) This episode features Dr. Thomas Greiner PhD from the University of Gothenburg (Sweden), speaking about the various functions of GLP-1 in the gut, and the role of gut microbes in GLP-1 production, with ultimate effects on host health. He noted that GLP-1 is produced by enteroendocrine cells called L-cells, both in the small intestine and the colon. These cells respond to nutrients and microbially-produced short-chain fatty acids, but responses differ between the small intestine and colon, leading Dr. Greiner to investigate the different functions of GLP-1 at these two sites. Using germ-free mice and other models, Dr. Greiner has developed a hypothesis that the function of GLP-1 in the small intestine is to improve insulin secretion postprandially, whereas the functions of GLP-1 in the colon are to allow for increased energy intake (in a situation of energy deficiency), dampen inflammation, and protect local tissues. He and his colleagues are taking two different approaches in aiming to improve metabolic health in humans: finding inhibitors of bacterial enzymes to decrease production of a harmful molecule produced by bacteria; and a probiotic approach of administering butyrate-producing bacteria. With the latter approach, the sensitivity of the bacteria to oxygen is a problem to overcome, but their group has evolved a bacterial strain to tolerate some oxygen, with the idea of testing it as a probiotic. Episode abbreviations and links: • Paper exploring the role of the gut microbiota in GLP-1 signaling: GLP-1R signaling modulates colonic energy metabolism, goblet cell number and survival in the absence of gut microbiota (https://www.sciencedirect.com/science/article/pii/S2212877824000553?via%3Dihub) • Study on the functions of GLP-1 in the colon: Microbial Modulation of Energy Availability in the Colon Regulates Intestinal Transit (https://www.cell.com/cell-host-microbe/fulltext/S1931-3128(13)00365-X?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS193131281300365X%3Fshowall%3Dtrue) • Bäckhed Lab Instagram account: @backhed_lab (https://www.instagram.com/backhed_lab?igsh=MWdpdmlndDAxOWFjag==) About Dr. Thomas Greiner PhD: Thomas Greiner is a medical scientist at the Wallenberg Laboratory, University of Gothenburg, with over 15 years of experience in functional genetics and metabolic research. His work focuses on the intricate interplay between gut microbiota, intestinal hormones such as GLP-1, and host metabolism. He has explored how microbial and hormonal signals influence energy balance, intestinal function, and the development of metabolic diseases. His research primarily uses molecular approaches in mouse models to investigate the role of microbial signals in metabolic disease and to uncover new functions of gut hormones in regulating intestinal physiology. Sign up (https://isappscience.org/for-scientists/news/isapp-newsletters/) for our monthly newsletter Follow us (https://isappscience.org/contact/) on LinkedIn, Bluesky, X, Facebook, Instagram, Threads The post Unraveling the functions of GLP-1 in the gut, with Dr. Thomas Greiner PhD (https://isappscience.org/episode-65-unraveling-the-functions-of-glp-1-in-the-gut/) appeared first on International Scientific Association for Probiotics and Prebiotics (ISAPP) (https://isappscience.org) .
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### **Disclaimer for Your Video** "**Disclaimer:** The information provided in this video is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare professional before starting any new diet, exercise routine, or health program, especially if you have pre-existing medical conditions like diabetes, thyroid, or PCOD. Results may vary for each individual based on body type, metabolism, and lifestyle. The creator is not responsible for any adverse effects or outcomes. Please follow the guidance at your discretion. Thank you for watching!"
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Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist that has been approved by the FDA for weight management in adults with obesity or overweight. As a once-weekly injectable medication, semaglutide has shown great promise in helping individuals achieve significant weight loss when used in conjunction with lifestyle modifications. However, determining the optimal dosing strategy for semaglutide in weight management can be complex and requires careful consideration of various factors.
Factors influencing optimal dosing
When determining the optimal dosing strategy for semaglutide in weight management, several factors must be taken into account. These factors include the individual’s starting weight, body composition, metabolic rate, age, and any comorbidities they may have. Additionally, the individual’s response to previous weight loss medications or interventions can also play a role in determining the most effective dosing regimen for semaglutide.
Starting with a lower dose
One approach to dosing semaglutide for weight management is to start with a lower dose and gradually increase it over time. This approach allows the individual to acclimate to the medication and reduces the risk of gastrointestinal side effects, which are common with GLP-1 receptor agonists. By starting with a lower dose and titrating up slowly, healthcare providers can monitor the individual’s response and adjust the dose as needed to achieve optimal weight loss results.
Personalized dosing regimens
Another approach to dosing semaglutide for weight management is to create personalized dosing regimens based on the individual’s specific needs and goals. This may involve adjusting the dose based on the individual’s weight loss progress, metabolic rate, and adherence to the medication. By tailoring the dosing regimen to the individual, healthcare providers can optimize the efficacy of semaglutide and help the individual achieve their weight loss goals more effectively.
Combination therapy
In some cases, combining semaglutide with other weight loss medications or interventions may be necessary to achieve optimal results. This may involve using semaglutide in conjunction with a low-calorie diet, increased physical activity, or other weight loss medications. By combining different approaches to weight management, healthcare providers can address multiple factors contributing to obesity and improve the individual’s overall response to treatment.
Long-term maintenance
Once the individual has achieved their weight loss goals with semaglutide, establishing a long-term maintenance plan is crucial to prevent weight regain. This may involve adjusting the dose of semaglutide, incorporating behavioral therapy, or implementing other strategies to help the individual maintain their weight loss over time. By developing a comprehensive maintenance plan, healthcare providers can support the individual in sustaining their weight loss achievements and improving their overall health and well-being.
In conclusion, determining the optimal dosing strategy for semaglutide in weight management requires consideration of multiple factors, including personalized dosing regimens, combination therapy, and long-term maintenance plans. By working closely with healthcare providers to tailor the dosing regimen to their specific needs and goals, individuals can maximize the efficacy of semaglutide and achieve sustainable weight loss outcomes.
For more information on optimal dosing strategies for semaglutide in weight management, consult with your healthcare provider to develop a personalized treatment plan that meets your individual needs and goals.
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Thank you for listening to The Peptide Podcast. If you enjoyed the show and want to support what we do, head over to our Partners Page. You'll find some amazing brands we trust—and by checking them out, you're helping us keep the podcast going. Today we’re diving into a topic that’s been everywhere lately: GLP-1 medications like semaglutide and tirzepatide for weight loss. You may know them by names like Wegovy, Ozempic, Mounjaro, or Zepbound. I want to give you a clear, realistic picture of what to expect—because while the media loves to highlight the dramatic before-and-after photos, the real journey can be slower and more nuanced for some. So in this episode, we’re going to talk about the truth—what these medications can do, what they can’t, how long things really take, and what you need to know to set yourself up for success. Not hype, not magic promises—just real, honest insight to help you understand the process. Let’s get into it. How GLP-1 & GIP/GLP-1 Agonists Work So first things first—how do these meds work? Semaglutide is a GLP-1 receptor agonist, and tirzepatide is a dual GIP and GLP-1 receptor agonist. Basically, they mimic natural hormones in your body that help regulate blood sugar, slow digestion, and—most importantly for weight loss—reduce appetite and improve satiety. That means you feel fuller faster and stay full longer. You're not obsessing over food like before. And that’s powerful. But—and this is a big one— these peptides don't magically erase years of weight gain overnight. What they do is help make weight loss easier by reducing hunger and supporting your metabolism—but they don't do all the work for you. It’s important to remember they're a powerful tool, not a replacement for your efforts. You're still in control of your choices, habits, and long-term success. Why We Titrate the Dose—and What "Therapeutic Dose" Means Now, let’s talk about dosing. When you start Wegovy, you don’t start at the highest dose. It’s gradually increased over several weeks to give your body time to adjust and to help reduce side effects like nausea or stomach upset. The usual schedule looks like this: You’ll start with 0.25 mg once a week for the first month. Then it increases every four weeks—0.5 mg, then 1 mg, then 1.7 mg. By week 17, most people reach the full dose of 2.4 mg once a week—that’s the dose shown in studies to lead to the most consistent weight loss, with many people losing around 15% of their total body weight over about a year. But here’s the thing—not everyone follows this path exactly, and that’s okay. Some people need to slow down or stay longer at a lower dose if they’re having side effects. Others may need to increase sooner if they’re not seeing appetite changes and are tolerating the medication well. And even though 2.4 mg is considered the “therapeutic dose,” not everyone needs to reach it. Some people feel great and lose weight at a lower dose—and if that’s you, that’s your sweet spot. The real goal is to find the lowest effective dose that controls your hunger, helps you lose weight at a steady pace, and keeps side effects to a minimum. This isn’t a one-size-fits-all journey, and pushing through side effects just to hit the max dose isn’t necessary—or safe. Your best dose is the one your body handles well and helps you make progress. *How Much Weight Can You Expect to Lose—and How Fast? Let’s take a look at the clinical studies. In large trials, people on semaglutide lost about 15% of their total body weight over 68 weeks. For tirzepatide, it was even higher—20% or more in some cases. But here’s the thing—those results happened over a year to a year and a half. Not 6 weeks. Not 3 months. It’s a marathon, not a sprint. Also, most of the weight loss doesn't happen during the titration phase. You may see some weight loss early on, especially if your appetite plummets. But the bulk of the weight loss happens once you reach and maintain your therapeutic dose. Why Everyone’s Journey Looks Different I can’t stress this enough—everybody’s journey is different. Some people feel zero hunger from their very first injection. Others don’t notice a big change until week 10 or 12. Some drop 10 pounds in the first month. Others lose two pounds and feel discouraged. All of those experiences are normal. Your age, hormones, medications, stress levels, sleep, and past diet history? They all play a role. And let’s be real—gaining 20, 50, or 100 pounds didn’t happen in a few weeks, right? It likely took months or even years of lifestyle habits, hormonal shifts, emotional eating, or underlying conditions. So we have to give ourselves that same grace and patience when we’re trying to take the weight off—even with medical support. Navigating Side...
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Let's talk about the key to losing weight and balancing your hormones! I have found that if you make this ONE main change about how you think about weight loss, dieting, and exercising it will change your life for the better as it did mine! I'll teach you how to free yourself from the pressures of society and the harsh expectations we put on ourselves. Tune in to here what will transform your weight loss journey and make you possibly the happiest you have ever been in your life! My advice is based on my personal experiences and struggles and what I am currently doing to keep my mind and body healthy. NO BS, no supplements, no craziness just REAL talk. xx Lindsay Bushman Join the community! INSTAGRAM: @Pilates.On.Demand PINTEREST: https://www.pinterest.com/lindsaybushman/ GET IN TOUCH: [email protected] SUBSCRIBE: https://www.youtube.com/pilatesondemand Facebook: https://www.facebook.com/LindsayRosebush-110950430664747/?view_public_for=110950430664747 Website: http://www.pilatesondemand.net DISCLAIMER: Please consult your doctor before starting any diet or exercise program. By using our videos, you understand and agree that neither Lindsay Bushman nor any persons associated with it have any liability to you for any injury or loss you may suffer in connection with any content we may post.