The chemical cross-communication between the guts and other organs that occurs when a person metabolizes nutrients begins before we open our mouths, when we see or smell food. The answer to why some people develop obesity, diabetes, and other metabolic disorders, and why some people respond so well to medicines like Ozempic, might lie in those signals. UT Health San Antonio endocrinologist Dr. Marzieh Salehi is studying that communication in patients with spinal cord injury.