» Articles » PMID: 39896831

Naturopathic Management to Taper Off Glucagon-Like Peptide-1 Receptor Agonist Therapy in Type 2 Diabetes: A Case Report

Overview
Date 2025 Feb 3
PMID 39896831
Authors
Affiliations
Soon will be listed here.
Abstract

This case report presents a 46-year-old woman with type 2 diabetes mellitus (T2DM) who sought to discontinue glucagon-like peptide-1 (GLP-1) receptor agonists (RAs) therapy while maintaining her weight and metabolic health. Her desire to reduce medication dependency, combined with her apprehension about potential metabolic regression following discontinuation of the drug, highlights a challenge often faced by patients managing chronic conditions, and the value of naturopathic adjunctive therapies to support these individuals in their wellness goals. This report details a comprehensive intervention strategy combining probiotics, nutrient supplementation, and lifestyle modifications to address her concerns. Over an 8-week period post-GLP-1 RAs therapy discontinuation, she maintained weight loss, improved glycemic control and lipid profile, demonstrated improvements in micronutrient levels, and experienced improvements in her quality of life. This case contributes to the growing body of evidence suggesting that targeted naturopathic interventions can play a supportive role in managing T2DM and mitigating the reliance on pharmacotherapy without compromising health outcomes.

References
1.
Turpin T, Thouvenot K, Gonthier M . Adipokines and Bacterial Metabolites: A Pivotal Molecular Bridge Linking Obesity and Gut Microbiota Dysbiosis to Target. Biomolecules. 2023; 13(12). PMC: 10742113. DOI: 10.3390/biom13121692. View

2.
Priyadarshini M, Lednovich K, Xu K, Gough S, Wicksteed B, Layden B . FFAR from the Gut Microbiome Crowd: SCFA Receptors in T1D Pathology. Metabolites. 2021; 11(5). PMC: 8151283. DOI: 10.3390/metabo11050302. View

3.
Shi Q, Nong K, Vandvik P, Guyatt G, Schnell O, Ryden L . Benefits and harms of drug treatment for type 2 diabetes: systematic review and network meta-analysis of randomised controlled trials. BMJ. 2023; 381:e074068. PMC: 10077111. DOI: 10.1136/bmj-2022-074068. View

4.
Mehdi S, Pusapati S, Anwar M, Lohana D, Kumar P, Nandula S . Glucagon-like peptide-1: a multi-faceted anti-inflammatory agent. Front Immunol. 2023; 14:1148209. PMC: 10230051. DOI: 10.3389/fimmu.2023.1148209. View

5.
Patra D, Banerjee D, Ramprasad P, Roy S, Pal D, Dasgupta S . Recent insights of obesity-induced gut and adipose tissue dysbiosis in type 2 diabetes. Front Mol Biosci. 2023; 10:1224982. PMC: 10575740. DOI: 10.3389/fmolb.2023.1224982. View