Evidence map›Paper›PMID 41754068›Full record

ReviewNutrients2026

Single vs. Dual Agonist Pharmacotherapy for Managing Insufficient Weight Loss and Weight Regain Following Metabolic and Bariatric Surgery: A Comparative Review.

Claudia Reytor-González, Martín Campuzano-Donoso, Gerardo Sarno, Martha Montalvan, Raquel Horowitz, Gianluca Rossetti, Vincenzo Pilone, Luigi Barrea, Giovanna Muscogiuri, Luigi Schiavo and 1 more

Abstract readReviewComparative Study
In one paragraph

Review in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Claudia Reytor-GonzálezFacultad de Ciencias de la Salud y Bienestar Humano, Universidad Tecnológica Indoamérica, Ambato 180150, Ecuador.ORCID 0009-0007-4234-5524
Martín Campuzano-DonosoFacultad de Ciencias de la Salud y Bienestar Humano, Universidad Tecnológica Indoamérica, Ambato 180150, Ecuador.ORCID 0000-0001-5317-8548
Gerardo Sarno"San Giovanni di Dio e Ruggi D'Aragona" University Hospital, Scuola Medica Salernitana, 84131 Salerno, Italy.ORCID 0000-0002-1161-0846
Martha MontalvanEscuela de Medicina, Universidad Espíritu Santo, Samborondón 0901952, Ecuador.ORCID 0000-0001-9550-2772
Raquel HorowitzGeriatrics Division, Department of Medicine, Montefiore Medical Center, 3411 Wayne Avenue, New York, NY 10467, USA.ORCID 0000-0002-4909-2925
Gianluca RossettiGeneral and Bariatric Surgery Unit, Abano Terme Policlinic, 35031 Padova, Italy.ORCID 0000-0002-6283-6001
Vincenzo PilonePublic Health Department, Federico II University, 80131 Naples, Italy.ORCID 0000-0003-2086-4554
Luigi BarreaDepartment of Psychology and Health Sciences, Pegaso Telematic University, 80143 Naples, Italy.ORCID 0000-0001-9054-456X
Giovanna MuscogiuriEndocrinology Unit, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.ORCID 0000-0002-8809-4931
Luigi SchiavoDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0003-3639-6847
Daniel Simancas-RacinesFacultad de Ciencias de la Salud y Bienestar Humano, Universidad Tecnológica Indoamérica, Ambato 180150, Ecuador.ORCID 0000-0002-3641-1501

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Weight management after metabolic and bariatric surgery remains a persistent clinical challenge, particularly when patients experience insufficient weight loss or progressive weight regain following the postoperative nadir. In recent years, pharmacological therapies targeting gut-derived hormones have reshaped the therapeutic approach, offering nonsurgical strategies that directly influence appetite regulation, satiety, and energy balance. Single agonists acting on the glucagon-like peptide one receptor have demonstrated meaningful reductions in body weight among postoperative patients, while dual agonists that target both the glucagon-like peptide one receptor and the glucose-dependent insulinotropic polypeptide receptor have shown even greater weight reduction in early studies, suggesting enhanced therapeutic potential. These benefits, however, must be interpreted within the unique anatomical, nutritional, and behavioral context of individuals who have undergone metabolic and bariatric procedures, as they are inherently at higher risk for micronutrient deficiencies, gastrointestinal intolerance, and maladaptive eating patterns. Successful treatment requires a balanced integration of pharmacotherapy, individualized nutritional guidance, psychological support, and a patient-centered model of long-term care. Although emerging evidence is promising, dedicated clinical trials are still needed to directly compare the efficacy, safety, and sustainability of single versus dual agonist therapies in postoperative populations. Furthermore, culturally sensitive dietary strategies and shared decision-making processes are essential to enhance adherence, optimize long-term outcomes, and ensure equitable access to treatment. Ultimately, these therapies represent a significant advance in addressing postoperative weight challenges, but their full potential will rely on comprehensive, multidisciplinary frameworks that support both biological and behavioral aspects of chronic weight management.

Indexed as

Anti-Obesity AgentsBariatric SurgeryGlucagon-Like Peptide-1 Receptor AgonistsWeight GainWeight LossHumansObesityReceptors, Gastrointestinal HormoneAnti-Obesity Agentsgastric inhibitory polypeptide receptorGlucagon-Like Peptide-1 Receptor AgonistsReceptors, Gastrointestinal Hormonebariatric surgeryglucagon-like peptide 1glucose-dependent insulinotropic polypeptidepharmacotherapyweight gainweight loss

Identifiers

PMID41754068
PMCPMC12943231

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.