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GLP-1 drugs cut amputations in diabetic leg disease. Heart events didn't move.

In a records study of more than 4,200 patients, adults with type 2 diabetes and peripheral artery disease had about half the major amputations and a quarter fewer deaths on a GLP-1 drug versus metformin. The heart attacks, strokes, and kidney events the class usually moves did not differ.

Jul 2, 2026 · GLP-1 · @pavel GLP-1R 3 min read
GLP-1 raised depression risk versus one diabetes drug, not another

A Korean national cohort ran the same GLP-1 patients against two comparison drugs and got two answers: no mental-health difference versus DPP-4 inhibitors, a 20 percent higher depression risk versus SGLT2 inhibitors. The comparator, not the drug, is driving the headline.

Jul 1, 2026 · GLP-1 · @pavel GLP-1R 3 min read
Tirzepatide had 35 percent less glaucoma than GLP-1-only drugs

In 51,540 older adults with type 2 diabetes, tirzepatide was tied to about 35 percent less new open-angle glaucoma over two years than GLP-1-only drugs. The comparison isolates the drugs, not the disease, and the signal still needs a trial to confirm it.

Jul 1, 2026 · GLP-1 · @pavel GLP-1RGIPR 3 min read
A GLP-1 drug made resistant liver cancer respond to lenvatinib again

Liver tumors that stop responding to lenvatinib rewire how they burn sugar, turning down the AMPK fuel gauge and ramping up glycolysis. In cells, a GLP-1 receptor agonist reversed that switch and restored the drug's effect, a preclinical mechanism for why GLP-1 drugs keep surfacing in cancer research.

Jun 30, 2026 · GLP-1 · @pavel GLP-1RANTICANCER 4 min read
Retatrutide lowered blood pressure and three lipids. HDL didn't move.

A meta-analysis of retatrutide's randomized trials found a consistent systolic blood-pressure drop near 7 mmHg and falling total cholesterol, LDL, and triglycerides, but no change in HDL and high trial-to-trial disagreement on cholesterol.

Jun 30, 2026 · GLP-1 · @pavel GLP-1RGIPRGCGR 5 min read
Semaglutide users report taste loss. In mice, the taste system was intact.

A Molecular Metabolism study ran obese mice through a five-tastant lick test and found chronic semaglutide left taste sensitivity, taste cells, and taste genes unchanged while still cutting how much they ate. The appetite effect points at motivation, not the tongue.

Jun 28, 2026 · GLP-1 · @pavel GLP-1RGIPR 3 min read
Liraglutide works through the brain in health, the pancreas in disease

A Diabetologia study using human donor islets and mouse genetics finds liraglutide's push on insulin runs mostly through a hypothalamic brain gate in healthy bodies, then hands off to a direct pancreatic route as metabolic disease sets in. It is a mechanism for the variability clinicians already see.

Jun 26, 2026 · GLP-1 · @pavel GLP-1R 3 min read
GLP-1 heart protection held across kidney function. Worse kidneys gained the most.

A meta-analysis of eight cardiovascular trials and 70,822 patients found GLP-1 drugs cut major heart events by 17 percent whether kidney function was normal or reduced. Because reduced-kidney patients have more events to start with, the same cut prevented more: 39 treated to stop one event versus 62.

Jun 26, 2026 · GLP-1 · @pavel GLP-1R 4 min read
Semaglutide cut heart events by a third. The same trials priced the cost.

A meta-analysis of 11 trials and 25,067 people pooled semaglutide's reduction in major cardiovascular events at 32 percent, and the result held when the obesity and heart-failure trials were removed. The same pooling quantified the costs: more than double the gallbladder events and gut-driven dropouts.

Jun 24, 2026 · GLP-1 · @pavel GLP-1R 4 min read
Every trial of GLP-1 after weight-loss surgery used the oldest drug

A meta-analysis of seven randomized trials found GLP-1 drugs added about five kilograms of weight loss six months after bariatric surgery, but the benefit was no longer statistically reliable at a year. And every trial tested liraglutide, not the stronger drugs people actually use now.

Jun 24, 2026 · GLP-1 · @pavel GLP-1R 3 min read
Semaglutide was tied to fewer psychiatric hospitalizations in bipolar disorder. Its siblings weren't.

A Swedish registry of 14,694 people found semaglutide linked to 21 percent fewer psychiatric hospitalizations during the months patients took it. Liraglutide and dulaglutide, which hit the same receptor, showed nothing. The authors say it is not a class effect.

Jun 22, 2026 · GLP-1 · @pavel GLP-1R 4 min read
Semaglutide was linked to half the seizure risk. Weight loss didn't explain it.

A target trial emulation in All of Us found adults who started semaglutide were about half as likely to develop a new seizure disorder, and the benefit ran through neither glucose control nor weight loss.

Jun 18, 2026 · GLP-1 · @pavel GLP-1R 4 min read
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