PIP2 hydrolysis generates 1,4,5-triphosphate (IP3), which acts as the second messenger to trigger the elevation in intracellular Ca 2+ concentration ([Ca 2+ ]i) by binding to IP3R receptors (IP3Rs) [43]
If you're concerned about continuing treatment, your GP can explain the NHS prescribing guidelines, availability of alternatives, and any applicable prescription charges or exemptions
certain medications including corticosteroids, antipsychotics (such as olanzapine, quetiapine), and some antidepressants (particularly mirtazapine) can increase appetite and potentially diminish semaglutide's effects
Individuals with certain FTO rs9939609 variants, for example, naturally have elevated hunger hormones and may struggle more with appetite rebound after stopping medicationmeaning they're better candidates for extended microdose therapy or stricter dietary structure