Obesity Connect
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Major adverse cardiovascular events among patients with type-2 diabetes, a nationwide cohort study comparing primary metabolic and bariatric surgery to GLP-1 receptor agonist treatment - International Journal of Obesity

Major adverse cardiovascular events among patients with type-2 diabetes, a nationwide cohort study comparing primary metabolic and bariatric surgery to GLP-1 receptor agonist treatment - International Journal of Obesity

Source : https://www.nature.com/articles/s41366-023-01254-z

Glucagon-like Peptide-1 receptor agonists (GLP-1 RA) and metabolic and bariatric surgery (MBS) both improve cardiovascular outcomes in patients with severe obesity and type-2 diabetes (T2D). The aim of the present...



Conclusion: In this matched cohort study, MBS was associated with lower risk for MACE compared to treatment with early GLP-1 RA in patients with T2D.

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Dual GIP/GLP-1 receptor agonists: new advances for treating type-2 diabetes

Dual GIP/GLP-1 receptor agonists: new advances for treating type-2 diabetes

Source : https://www.sciencedirect.com/science/article/abs/pii/S0003426623000045?via=ihub

Glucagon-like peptide-1 (GLP-1) receptor agonists currently occupy a privileged place in the management of type-2 diabetes (T2D). Dual glucose-depende...



Relevance: Glucagon-like peptide-1 (GLP-1) receptor agonists currently occupy a privileged place in the management of type-2 diabetes (T2D). Dual glucose-dependent insulinotropic polypeptides (GIP/GLP-1) have been recently developed.

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Semaglutide in Obesity: Unmet Needs in Men - Diabetes Therapy

Semaglutide in Obesity: Unmet Needs in Men - Diabetes Therapy

Source : https://link.springer.com/article/10.1007/s13300-022-01360-7

Diabetes Therapy (2023) Cite this article FormalPara Key Summary Points Men were understudied in the STEP Phase 3a clinical program. A number of gender-specific differences in efficacy of semaglutide between...



Relevance: A number of gender-specific differences in efficacy of semaglutide between men and women were identified in subgroup analysis overviews of the STEP program.

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First-in-Class Oral Semaglutide Overcoming Barriers of Incretinisation in the Indian Context

First-in-Class Oral Semaglutide Overcoming Barriers of Incretinisation in the Indian Context

Source : https://journals.lww.com/indjem/Fulltext/2022/09000/First_in_Class_Oral_Semaglutide__Overcoming.4.aspx

patients from other parts of the world. However, subcutaneous treatment with glucagon-like peptide-1 receptor agonists (GLP-1 RAs) is limited by their injectable mode of administration. The present review highlights barriers...



Relevance: The present review highlights barriers to incretinisation with GLP-1RAs and the role of first-in-class oral semaglutide in the Indian context and provides guidance to physicians on its initiation and uses.

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Once-Weekly Subcutaneous Semaglutide 2.4 mg Injection is Cost-Effective for Weight Management in the United Kingdom - Advances in Therapy

Once-Weekly Subcutaneous Semaglutide 2.4 mg Injection is Cost-Effective for Weight Management in the United Kingdom - Advances in Therapy

Source : https://link.springer.com/article/10.1007/s12325-022-02423-8

Objectives The objective of the current preliminary study was to present the cost-effectiveness analyses submitted to the National Institute for Health and Care Excellence (NICE) (TA10765) that deemed semaglutide 2.4...



Conclusion: Semaglutide 2.4 mg s.c. injection is a cost-effective therapy compared to D&E alone for patients with obesity and weight-related comorbidities in the UK. Sensitivity and scenario analyses confirm the robustness of the analyses.

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Metformin and Cervical Cancer Risk in Patients with Newly Diagnosed Type 2 Diabetes: A Population-Based Study in Korea - PubMed

Metformin and Cervical Cancer Risk in Patients with Newly Diagnosed Type 2 Diabetes: A Population-Based Study in Korea - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36604960/

Metformin use in patients with newly diagnosed diabetes was associated with a lower risk of cervical cancer in Korea. Furthermore, a significant association was found between the use of metformin...



Conclusion: Metformin use in patients with newly diagnosed diabetes was associated with a lower risk of cervical cancer in Korea. Furthermore, a significant association was found between the use of metformin and cervical cancer in a dose- and duration-dependent manner and among those over 50 years old.

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Real-world use of once-weekly semaglutide in type 2 diabetes: results from SURE Germany

Real-world use of once-weekly semaglutide in type 2 diabetes: results from SURE Germany

Source : https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2007-2061

CC BY-NC-ND 4.0 · Exp Clin Endocrinol Diabetes DOI: 10.1055/a-2007-2061 1   Innere Medizin - Diabetologie und Endokrinologie, Gemeinschaftskrankenhaus Bonn, Bonn, Germany 4   Novo Nordisk Pharma GmbH, Mainz, Germany...



Conclusions: In a real-world population in Germany, patients with type 2 diabetes treated with once-weekly semaglutide experienced clinically significant improvements in glycaemic control and body weight. These results support use of once-weekly semaglutide in routine clinical practice in adult patients with type 2 diabetes in Germany.

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Clinical Insight on Semaglutide for Chronic Weight Management in Adults: Patient Selection and Special Considerations

Clinical Insight on Semaglutide for Chronic Weight Management in Adults: Patient Selection and Special Considerations

Source : https://www.dovepress.com/clinical-insight-on-semaglutide-for-chronic-weight-management-in-adult-peer-reviewed-fulltext-article-DDDT

Intensive lifestyle intervention (ILI) that includes counseling on behavioral, physical activity, and dietary strategies is the first-line treatment for obesity. In clinical research trials, ILI produces losses of 7-8% of...



Conclusions/Relevance: In this paper, we discuss considerations for the selection of individuals who are candidates for semaglutide and special considerations related to the use of this medication. These include its efficacy and safety, as well as its contraindications, potential adverse effects, management of comorbidities and drug...

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Glucagon-like peptide 1-receptor agonists and A1c: Good for the heart but less so for the eyes?

Glucagon-like peptide 1-receptor agonists and A1c: Good for the heart but less so for the eyes?

Source : https://www.sciencedirect.com/science/article/abs/pii/S1871402122003137?via=ihub

GLP1-RA decrease cardiovascular events [CE] but may worsen diabetic retinopathy [DR]. * Increase in DR was found in subcutaneous semaglutide >1 year and with decreases in A1c > 1.0%. *...



Conclusions: This meta-analysis may assist in decisions balancing the relative risk (of existing retinopathy) versus benefits (to existing CVD). There should be close collaboration with ophthalmology to grade the baseline degree of retinopathy when initiating and following patients.

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Semaglutide 2.4 mg for the management of obesity | DMSO

Semaglutide 2.4 mg for the management of obesity | DMSO

Source : https://www.dovepress.com/semaglutide-24-mg-for-the-management-of-overweight-and-obesity-systema-peer-reviewed-fulltext-article-DMSO

Obesity is a major global public health issue; the World Health Organisation estimated that in 2016 there were almost 2 billion adults worldwide with overweight and 650 million with obesity....


Conclusions: In NMA, semaglutide 2.4 mg demonstrated effective weight loss (≥ 5%) in the total population and all subpopulations of glucose tolerance versus active comparators. Semaglutide is an effective treatment that may address unmet need in the management of overweight and obesity.


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Association of glucagon-like peptide-1 receptor agonists with cardiac arrhythmias in patients with type 2 diabetes or obesity: a systematic review and meta-analysis of randomized controlled trials - Diabetology & Metabolic Syndrome

Association of glucagon-like peptide-1 receptor agonists with cardiac arrhythmias in patients with type 2 diabetes or obesity: a systematic review and meta-analysis of randomized controlled trials - Diabetology & Metabolic Syndrome

Source : https://dmsjournal.biomedcentral.com/articles/10.1186/s13098-022-00970-2

Background Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have been highly recommended for glycemic control and weight reduction. However, evidence has accumulated that GLP-1 RAs treatment is related to an increase...


Conclusions: GLP-1 RAs therapy was not associated with an overall higher risk of arrhythmias, demonstrating an assuring cardiovascular safety profile. Further studies are required to determine whether the potential antiarrhythmic or arrhythmogenic effect of GLP-1 RAs is drug-specific and varies from doses or baseline BMI.


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Effect of semaglutide on fatty liver disease biomarkers in patients with diabetes and obesity

Effect of semaglutide on fatty liver disease biomarkers in patients with diabetes and obesity

Source : https://www.sciencedirect.com/science/article/abs/pii/S2254887422001047?via=ihub

Available online 19 December 2022 This work aims to assess the effect of weekly subcutaneous semaglutide on biomarkers of metabolic-associated fatty liver disease (MAFLD), namely the hepatic steatosis index (HSI)...

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Conclusions: These results show that weekly subcutaneous semaglutide had a beneficial effect on liver steatosis that went beyond glucose control. Its effects were mainly related to weight loss, a decline in biomarkers, and improvements in insulin sensitivity. For many patients, early detection is essential for improving MAFLD outcomes and may...

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Once-Weekly Semaglutide Use in Type 2 Diabetes: Real-World Data from the SURE Netherlands Observational Study - PubMed

Once-Weekly Semaglutide Use in Type 2 Diabetes: Real-World Data from the SURE Netherlands Observational Study - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36542260/

Individuals with T2D treated with OW semaglutide experienced significant and clinically relevant improvements in glycaemic control and BW from baseline. These results from a diverse real-world population in the Netherlands...


Conclusions: Individuals with T2D treated with OW semaglutide experienced significant and clinically relevant improvements in glycaemic control and BW from baseline. These results from a diverse real-world population in the Netherlands support the use of OW semaglutide in treating adults with T2D in routine clinical practice.


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Semaglutide for cardiovascular event reduction in people with overweight or obesity: SELECT study baseline characteristics - PubMed

Semaglutide for cardiovascular event reduction in people with overweight or obesity: SELECT study baseline characteristics - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36502289/

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Conclusions: The enrolled population in SELECT includes participants across a broad range of relevant risk categories. This will allow the study to garner information about the CV benefits of semaglutide across these relevant clinical subgroups.

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    paper describes the baseline characteristics of the Semaglutide Effects on Heart Disease and Stroke in Patients with Overweight or Obesity
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Efficacy and Safety of Liraglutide and Semaglutide on Weight Loss in P | CLEP

Efficacy and Safety of Liraglutide and Semaglutide on Weight Loss in P | CLEP

Source : https://www.dovepress.com/efficacy-and-safety-of-liraglutide-and-semaglutide-on-weight-loss-in-p-peer-reviewed-fulltext-article-CLEP

Obesity is a chronic disease with serious health consequences; it can lead to insulin resistance, hypertension, and dyslipidemia, associated with complications such as type 2 diabetes, cardiovascular disease, and non-alcoholic...



Conclusion: This meta-analysis indicates that all GLP-1RAs were more efficacious than placebo in people with obesity or overweight on efficacy. Semaglutide 2.4mg has an absolute advantage in weight loss and decreased HbA1c, but the incidence of total adverse events is also the highest and can cause hypoglycemia. In addition, although...

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Semaglutide-Associated Acute Interstitial Nephritis: A Case Report

Semaglutide-Associated Acute Interstitial Nephritis: A Case Report

Source : https://www.kidneymedicinejournal.org/article/S2590-0595(22)00193-5/fulltext

Glucagon-like peptide 1 receptor agonists (GLP-1RAs) are being investigated to slow the decline of kidney function in type 2 diabetics with chronic kidney disease (CKD). These agents have proven benefits...



Conclusion: Currently, with semaglutide prescription, monitoring of kidney function is limited to patients with severe adverse gastrointestinal reactions.

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    Glucagon-like peptide 1 receptor agonists (GLP-1RAs) are being investigated to slow the decline of kidney function in type 2 diabetics with chronic kidney disease (CKD)
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Phase angle (PhA) in overweight and obesity: evidence of applicability from diagnosis to weight changes in obesity treatment - Reviews in Endocrine and Metabolic Disorders

Phase angle (PhA) in overweight and obesity: evidence of applicability from diagnosis to weight changes in obesity treatment - Reviews in Endocrine and Metabolic Disorders

Source : https://link.springer.com/article/10.1007/s11154-022-09774-1

Phase angle (PhA) is a recently proposed marker of nutritional status in many clinical conditions. Its use in patients with obesity presents different critical concerns due to the higher variability...



Conclusion: We can conclude that the PhA could be used as marker of health status in patients with obesity supporting an appropriate weight loss intervention to monitor efficacy and fat free mass preservation.

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Potential Roles of Glucagon-Like Peptide 1 Receptor Agonists (GLP-1 RAs) in Nondiabetic Populations

Potential Roles of Glucagon-Like Peptide 1 Receptor Agonists (GLP-1 RAs) in Nondiabetic Populations

Source : https://www.hindawi.com/journals/cdtp/2022/6820377/

Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) have been observed in several large cardiovascular outcome trials to significantly reduce the incidence of major cardiovascular event (MACE) with type 2 diabetic...



Conclusions/Relevance: The focus of the review is on GLP-1 RAs’ preventive roles in nondiabetic individuals with cardiovascular disease, chronic kidney diseases, obesity, dyslipidaemia, hypertension, nonalcoholic fatty liver diseases, polycystic ovarian syndrome (PCOS), and perioperative complications of bariatric surgery, albeit in small...

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Growth hormone treatment does not augment the anti-diabetic effects of liraglutide in UCD-T2DM rats - PubMed

Growth hormone treatment does not augment the anti-diabetic effects of liraglutide in UCD-T2DM rats - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36480511/

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Conclusion: GH supplementation did not augment the anti-diabetic effects of liraglutide.

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