Embracing the Pros and Cons of the New Weight Loss Medications (Semaglutide, Tirzepatide, Etc.)

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Wegovy (semaglutide injection 2.4 mg) Prescribing Information. Accessed 1 Jul 2023 at https://www.novo.pi.com/wegovy.pdf.

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•• Wilding JPH, Batterham RL, Davies M, Van Gaal LF, Kandler K, Konakli K, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: the STEP 1 trial extension. Diabetes Obes Metab. 2022;24(8):1553–64. https://doi.org/10.1111/dom.14725. One of the only studies to examine what happens when medication cessation occurs-two thirds of weight lost was regained within the first year of discontinuation.

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Hjerpsted JB, Flint A, Brooks A, Axelsen MB, Kvist T, Blundell J. Semaglutide improves postprandial glucose and lipid metabolism, and delays first-hour gastric emptying in subjects with obesity. Diabetes Obes Metab. 2018;20(3):610–9. https://doi.org/10.1111/dom.13120.

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Wharton S, Calanna S, Davies M, Dicker D, Goldman B, Lingvay I, et al. Gastrointestinal tolerability of once-weekly semaglutide 2.4 mg in adults with overweight or obesity, and the relationship between gastrointestinal adverse events and weight loss. Diabetes Obes Metab. 2022;24(1):94–105. https://doi.org/10.1111/dom.14551.

Lingvay I, Hansen T, Macura S, Marre M, Nauck MA, de la Rosa R, et al. Superior weight loss with once-weekly semaglutide versus other glucagon-like peptide-1 receptor agonists is independent of gastrointestinal adverse events. BMJ Open Diabetes Res Care. 2020;8(2):e001706. https://doi.org/10.1136/bmjdrc-2020-001706.

Zhou F, Jiang L, Jiamei G, Fan Y, Pan Q, Tianlian L, et al. Degree of obesity and gastrointestinal adverse reactions influence the weight loss effect of liraglutide in overweight or obese patients with type 2 diabetes. Ther Adv Chronic Dis. 2023;14:20406223231161516. https://doi.org/10.1177/20406223231161516.

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FDA approves once-weekly Wegovy® injection for the treatment of obesity in teens aged 12 and older. Accessed 1 Jul 2024 at https://www.novonordisk-us.com/media/news-archive/news-details.html?id=151389.

Weghuber D, Barrett T, Barrientos-Perez M, Gies I, Hesse D, Jeppesen OK, et al. for the STEP TEENS Investigators. Once-weekly semaglutide in adolescents with obesity. N Engl J Med. 2022. 387(24):2245–57. https://doi.org/10.1056/NEJMoa2208601.

FDA approves new drug treatment for chronic weight management, first since 2014. Accessed 1 Jul 2023 at https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014.

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