Dosing difference: Januvia is a single-agent tablet
Conversely, protecting GLP-1 from degradation offers limited help if production remains low
GLP-1 analogs can increase microvascular perfusion in skeletal muscle through the PKA-NO pathway, and they can also enhance microvascular perfusion independently of NO (175)
References Stanaway JD, et al
Hector Perez, a board-certified bariatric surgeon, believes the interest in these probiotics could also be "an aftereffect of the success of GLP-1 drugs, which have now brought public focus on gut microbiome and weight loss." He notes that more people are beginning to connect that metabolism goes beyond calories and may be shaped by gut health
Each tier tells a distinct story about efficacy, tolerability, and the tradeoffs researchers face when selecting a protocol