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And a small randomized clinical trial found patients with opioid use disorder who took an older form of GLP-1 known as liraglutide experienced a 40 percent reduction in opioid cravings compared with a placebo

However, as polypeptide drugs, GLP-1RAs are easily hydrolyzed by enzymes in the gastrointestinal environment

GLP-1s help to reduce the impacts of chronic stress and help to alter food reward pathways in positive ways and may help reduce alcohol and other substance use disorders (Mozafarriun et al 2025)

Neuropharmacology 62, 312
