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If you are not losing weight on GLP-1 therapy , thyroid optimization should be the first thing investigated
2020;5(6):e133429.
To assess the associations of semaglutide with incident CUD (first time diagnosis of CUD), the study population included 83,189 patients who had active medical encounters for the diagnosis of obesity in 6/202112/2022, were for the first time (new users design) prescribed semaglutide or non-GLP-1RA anti-obesity medications (bupropion, naltrexone, orlistat, topiramate, phentermine) [39] during 6/2021-12/2022 (time zero or index event), had no diagnosis of CUD on or before the index event and had a diagnosis of at least one of obesity-associated comorbidities (T2D, hypertension, hypercholesterolemia, hyperlipidemia, heart diseases, stroke) on or before the index event
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Early cancer concerns came from animal studies and initial safety reports
Finally, Jahraus emphasized that there is still much that scientists dont know about the long-term effects of these medications
