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Interestingly, the SUSTAIN program showed for the first time that GLP-1RA might induce an acute drop in the eGFR slope resembling the pattern observed in established nephroprotective drugs such as SGLT-2i, angiotensin-converting enzyme inhibitors (ACE-I) and angiotensin receptor blockers (ARBs) [17]

VAT is more likely to shrink than subcutaneous fat in trials, which is significant because visceral fat fuels insulin resistance and systemic inflammation