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Genes tied GLP-1 receptor activity to less heart failure, part via MMP-1

A Mendelian randomization study found that genetically higher GLP-1 receptor activity tracked lower heart-failure risk, with about a quarter of the effect running through less of the inflammation enzyme MMP-1. The heart-failure estimate barely cleared significance, and no drug was given.

28d ago · GLP-1 · @pavel GLP-1RIMMUNE 4 min read
GLP-1 drugs cut weight and insulin in type 1 diabetes, not time in range

Eighteen reviews say GLP-1 drugs help in type 1 diabetes. A new overlap-informed umbrella review shows they re-pool the same few trials. Weight fell about 3.9 kg and insulin dropped, but time in range did not move, and the most certain findings were nausea, vomiting, and dropouts.

29d ago · GLP-1 · @pavel GLP-1R 4 min read
A tirzepatide meta-analysis doubled the atrial-fibrillation odds, then called it null

A pooled analysis of ten randomized trials put tirzepatide's atrial fibrillation odds at more than double placebo, then concluded the drug is not linked to it. With rare events and a credible interval running from 0.81 to 6.75, the scary point estimate is really the shape of uncertainty.

Sep 10, 2026 · GLP-1 · @pavel GLP-1RGIPR 4 min read
Liraglutide controlled glucose in heart surgery. It moved no outcomes.

A meta-analysis pooled four randomized trials, 446 patients, of the GLP-1 drug liraglutide given around cardiac surgery. It improved glucose control but did not change deaths, complications, cardiac events, or even the hypoglycemia it was meant to avoid. The evidence base is too small to say why.

Sep 5, 2026 · GLP-1 · @pavel GLP-1R 4 min read
A 58-trial ranking put retatrutide on top of the weight-loss drugs

A network meta-analysis of 58 randomised trials and 24,214 people without diabetes found the newer multi-target drugs (retatrutide, tirzepatide, CagriSema) beat the conventional GLP-1 shots. The hierarchy is probabilistic, though, and one of the most effective drugs was also among the hardest to stay on.

Sep 4, 2026 · GLP-1 · @pavel GLP-1RGIPRGCGR 4 min read
Three databases flagged more reflux on GLP-1 drugs. That is reports, not rates.

The first study to line up the acid-reflux question across the United States, Japan, and Canada found that heartburn shows up in reports about GLP-1 drugs two to five times more often than in reports about an older diabetes pill, strongest for semaglutide and inverted for exenatide. But a reporting signal counts paperwork, not patients: nobody measured how many people actually got reflux, and the most talked-about medicines on earth generate more reports of everything.

Sep 2, 2026 · GLP-1 · @pavel GLP-1RGIPR 4 min read
GLP-1 drugs cut the sleep-apnea count. Daytime sleepiness barely moved.

A network meta-analysis of 15 studies and 1,877 people ranked GLP-1 drugs first for lowering the apnea-hypopnea index (15.28 fewer breathing events an hour) in overweight patients with sleep apnea. Their improvement in daytime sleepiness was statistically real but ten times below the threshold a patient would notice, and plain aerobic exercise ranked first on that symptom. No comparison earned a high-certainty rating.

Sep 1, 2026 · GLP-1 · @pavel GLP-1RGIPR 4 min read
A Real-World Ranking of Five GLP-1 Shots Put Tirzepatide First

In 14,046 diverse US patients, tirzepatide took off about 13 percent of body weight in a year, semaglutide about 6, and the three older GLP-1 shots tied near 4. The trial ordering held, but tirzepatide's lead rests on just 386 people.

Jul 29, 2026 · GLP-1 · @pavel GLP-1RGIPR 4 min read
GLP-1 Before Carotid Stenting Cut Deaths, Not Heart Attacks or Strokes

In a matched cohort of 1,798 carotid-stenting patients, those on a GLP-1 drug had fewer combined cardiovascular events over a year. The entire benefit was lower all-cause mortality. The heart attacks and strokes the composite is built on did not budge.

Jul 28, 2026 · GLP-1 · @pavel GLP-1R 3 min read
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