That is significant, even at the lowest therapeutic dose
In vivo , the enriched immunoreactivity or transcription of the GLP-1R was detected in neurons of the DVC, paraventricular and posterior thalamic nuclei, various hypothalamic regions, ventral, posterodorsal and interpeduncular tegmental areas, the periaqueductal gray and superior colliculus, while medium to low levels of GLP-1Rs were found in the posterior/caudal hippocampus, the hippocampal CA1, temporal/cerebral cortex, striatum, substantia nigra (SN) [which included tyrosine hydroxylase (SN)-expressing dopaminergic neurons (Elabi et al., 2021)], locus coeruleus, preoptic area, parabrachial nuclei, lateral septum, lateral habenula
If sulfur burps persist beyond 68 weeks or significantly impact quality of life, discuss with your provider whether dose adjustment, medication type adjustment (for example, from injection to oral form), or temporary dose pausing is appropriate
Together, they offer a realistic view of what to expect
Why you might not feel hungry enough The opposite problem, appetite suppression so intense that eating feels impossible, is equally concerning and often gets less attention