Small-molecule degradation typically just produces less active compound
However, despite its popularity, there are concerns about side effects, especially if mixed with alcohol
Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline
1, Panel B)
Tirzepatide, by contrast, activates both glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP) receptors simultaneously, producing rapid satiety signaling, improved insulin sensitivity, and accelerated weight reduction
As we will explore below, the emerging consensus is that FGF21 analogues consistently improve hepatic steatosis, lipid profiles, and insulin sensitivity, with several agents demonstrating clinically meaningful signals for MASH resolution and fibrosis improvement