While not as commonly reported as other side effects like nausea, heartburn (and related issues like indigestion, belching, or acid reflux) can happen especially as your dose increases
Back Laughton, NB, Macallum, AB (1 June 1932) 'The Relation of duodenal mucosa to internal secretion of the pancreas', Proceedings of the Royal Society of London
In this regard, GLP-1 treatment leads to decreased expression of macrophagespecific markers for M1 (inducible NOS (iNOS), IL6 and TNF) and enhances expression level of M2-marker genes, including arginine1, macrophage galectin-1 (MGL-1), IL10, as well as mannose receptor-1 (MRC-1)
En estudios comparativos frente a tirzepatida o semaglutida se ajustan las dosis para igualar exposicin GLP-1R, lo que requiere caracterizacin previa por farmacocintica poblacional