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14 Obesity can also impact the pharmacokinetics of therapies through changes to volume of distribution and drug clearance, 15 and may negatively alter the efficacy of therapies used to treat IBD

In terms of blood pressure management, GLP-1 RAs modulate the renin-angiotensin-aldosterone system (RAAS), reduce vascular resistance, and improve vascular relaxation, effectively lowering SBP 39,40,41

Their mean BMI at the start was 32.3 kg/m 2 and the mean BMI percentile for sex and age was the 98.1st percentile

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