Obesity Connect
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Cost-effectiveness analysis of five anti-obesity medications from a US payer's perspective - PubMed

Cost-effectiveness analysis of five anti-obesity medications from a US payer's perspective - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37088648/

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Conclusion: Compared to other AOM, PpT was lowest cost treatment with nearly identical QALYs with other agents.

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Is retatrutide (LY3437943), a GLP-1, GIP, and glucagon receptor agonist a step forward in the treatment of diabetes and obesity? - PubMed

Is retatrutide (LY3437943), a GLP-1, GIP, and glucagon receptor agonist a step forward in the treatment of diabetes and obesity? - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37086147/

The role of stimulating glucagon receptors in the treatment of type 2 diabetes and/or obesity is poorly defined and needs to be clarified. Although retatrutide may be superior to the...

Expert Opinion: The role of stimulating glucagon receptors in the treatment of type 2 diabetes and/or obesity is poorly defined and needs to be clarified. Although retatrutide may be superior to the GLP-1 receptor agonist dulaglutide in reducing plasma glucose and body weight, this is not a meaningful comparison, as another GLP-1 receptor...

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Semaglutide alleviates inflammation-Induced endothelial progenitor cells injury by inhibiting MiR-155 expression in macrophage exosomes

Semaglutide alleviates inflammation-Induced endothelial progenitor cells injury by inhibiting MiR-155 expression in macrophage exosomes

Source : https://www.sciencedirect.com/science/article/pii/S1567576923005179?via=ihub

Macrophage exosomes impair endothelial progenitor cells function after lipopolysaccharide stimulation. * MiR-155 in macrophage exosomes impairs the function of endothelial progenitor cells and causes inflammation. * Semaglutide may protect endothelial...

Conclusions/Relevance: Semaglutide improved the cell viability of EPCs and also inhibited the expression of inflammatory factors in EPCs as well as miR-155 in exosomes. Semaglutide improves the function and inflammatory status of EPCs may via inhibition of LPS-induced macrophage expression of miR-155 in exosomes.

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The Impact of Substantial Improvements in HbA1c and Weight Loss on the Medication Preferences of People with Type 2 Diabetes

The Impact of Substantial Improvements in HbA1c and Weight Loss on the Medication Preferences of People with Type 2 Diabetes

Source : https://www.dovepress.com/the-impact-of-substantial-improvements-in-hba1c-and-weight-loss-on-the-peer-reviewed-fulltext-article-PPA

The prevalence of diabetes has been increasing worldwide for the past several decades, reaching over 37 million people in the US and approximately five million people in the UK. Over...

Conclusion: HbA1c reduction, frequency of hypoglycemia, and weight reduction are key drivers of preferences among people with T2D when considering medication options. Overall, people with T2D are likely to prefer the tirzepatide over the semaglutide 1mg medication profiles.

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Systematic Review and Meta-Analysis of the Impact of Bariatric Surgery on Future Cancer Risk - PubMed

Systematic Review and Meta-Analysis of the Impact of Bariatric Surgery on Future Cancer Risk - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37047163/

The study aimed to perform a systematic review and meta-analysis of the evidence for the prevention of future cancers following bariatric surgery. A systematic literature search of the Cochrane Library,...

Conclusions/Relevance: Bariatric surgery results in long-term weight loss in morbidly obese patients and improves metabolic syndrome. Bariatric surgery may decrease future overall cancer incidence and mortality, including the incidence of seven obesity-related cancers.

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Acute pharmacodynamic responses to exenatide: Drug-induced increases in insulin secretion and glucose effectiveness

Acute pharmacodynamic responses to exenatide: Drug-induced increases in insulin secretion and glucose effectiveness

Source : https://www.medrxiv.org/content/10.1101/2023.03.15.23287166v1

Background GLP1R agonists provide multiple benefits to patients with type 2 diabetes - including improved glycemic control, weight loss, and decreased risk of major adverse cardiovascular events. Because drug responses...

Conclusions: This pilot study provides validation for the value of an FSIGT (including minimal model analysis) to provide primary data for our ongoing pharmacogenomic study of pharmacodynamic effects of semaglutide. Three endpoints provide quantitative assessments of GLP1R agonist effects on glucose metabolism: first phase insulin...

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Dermal Hypersensitivity Reaction to Semaglutide: Two Case Reports - PubMed

Dermal Hypersensitivity Reaction to Semaglutide: Two Case Reports - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37026881/

Glucagon-like peptide-1 (GLP-1) receptor agonists are a class of antidiabetic agents that work by inducing insulin secretion and inhibiting release of glucagon in a glucose-dependent manner. They are especially promising...

Relevance:  In the first case, a 75-year-old woman who had been taking semaglutide for 10 months presented with an eruption on her legs, back, and chest for 3 months duration. Histology showed a subepidermal blister with eosinophils, suggestive of a drug hypersensitivity reaction. In the second case, a 74-year-old white man who had been...

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Microbiota-gut-brain axis: relationships among the vagus nerve, gut microbiota, obesity, and diabetes - PubMed

Microbiota-gut-brain axis: relationships among the vagus nerve, gut microbiota, obesity, and diabetes - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37058160/

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Conclusions: Because of its enteroendocrine cell-mediated interaction with the gut microbiota, the vagus nerve may provide a potential pathway through which gut microorganisms influence host feeding behavior and metabolic control of physiological and pathological conditions.

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Sodium Glucose Cotransporter 2 (SGLT2) Inhibitor Ameliorate Metabolic Disorder and Obesity Induced Cardiomyocyte Injury and Mitochondrial Remodeling - PubMed

Sodium Glucose Cotransporter 2 (SGLT2) Inhibitor Ameliorate Metabolic Disorder and Obesity Induced Cardiomyocyte Injury and Mitochondrial Remodeling - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37047815/

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Conclusions: Our study reveals the adverse effects of metabolic disorder- and obesity-induced epicardial fat impairing cardiomyocyte H9c2 function by disturbing the mitochondrial function, such as reducing membrane potential, ROS accumulation, Ca2+ overload, and associated regulator expression. However, most of the dysregulation was...

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New insights into the treatment of obesity - PubMed

New insights into the treatment of obesity - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37055715/

Obesity is a chronic, progressive, and relapsing disease with a rising global prevalence associated with increased morbidity and mortality and reduced quality of life. Treatment of obesity requires a comprehensive...

Conclusions/Relevance: these novel agents promise to narrow the gap between the weight-loss effects of behavior interventions, previous pharmacotherapies, and bariatric surgery. In this narrative review, we highlight established and emerging therapeutic treatments for long-term obesity management and position them in a framework according to...

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The improved health utility of once-weekly subcutaneous semaglutide 2.4 mg compared with placebo in the STEP 1-4 obesity trials - PubMed

The improved health utility of once-weekly subcutaneous semaglutide 2.4 mg compared with placebo in the STEP 1-4 obesity trials - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37055712/

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Conclusions: Semaglutide 2.4 mg was associated with improvement in health utility scores compared with placebo, reaching statistical significance in STEP 1, 2 and 4.

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Diagnosing obesity in your patients

Despite its increasing prevalence, obesity is one of the most misunderstood conditions in medicine. In fact, the AMA didn’t recognize it as a disease until 2013! In the United States, there are an estimated 30 million adults with diabetes, and 100 million adults with obesity. Obesity increases health risks and is associated with more than 60 comorbidities.

Physicians are key to the diagnosis of obesity, nevertheless studies show that only 55% of patients with obesity who seek treatment are diagnosed with this condition. Two key criteria for diagnosis include BMI ≥ 30 and sex-specific waist circumference (>40 inches in men; >35 inches in women).

When assessing waist circumference, be sure to take the following steps:

  1. Place the tape measure horizontally around the patient’s waist (i.e., between the lowest rib and the top of the hip bone); the umbilicus (i.e., belly button); or at the narrowest point of the midsection.
  2. Maintain a snug fit around the patient’s waist without pressing the skin and have the patient take a deep breath and exhale.
  3. Measure the waist circumference on exhalation.

Which of your patients do you evaluate for obesity? What measures do you use to diagnose obesity, and who takes these measures?

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  • 3yr
    all of em
  • 3yr
    BMI is calculated by the EMR but hardly ever do I calculate waist circumference. I have done this a few times but usually only with corporate wellness programs. I rely Show More

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Proteomic analysis reveals semaglutide impacts lipogenic protein expression in epididymal adipose tissue of obese mice

Proteomic analysis reveals semaglutide impacts lipogenic protein expression in epididymal adipose tissue of obese mice

Source : https://www.frontiersin.org/articles/10.3389/fendo.2023.1095432/full

Background and objectivesObesity is a global health problem with few pharmacologic options. Semaglutide is a glucagon-like peptide-1 (GLP-1) analogue that induces weight loss. Yet, the role of semaglutide in adipose...

Conclusion: Semaglutide can effectively reduce visceral fat and blood lipids and improve glucose metabolism in obese mice. Semaglutide treatment might have beneficial effects on adipose tissues through the regulation of lipid uptake, lipid storage, and lipolysis in white adipose tissue.

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Pharmacotherapy of obesity: an update on the available medications and drugs under investigation

Pharmacotherapy of obesity: an update on the available medications and drugs under investigation

Source : https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00059-7/fulltext

Obesity is an epidemic and a public health threat. Medical weight management remains one of the options for the treatment of excess weight and recent advances have revolutionized how we...

Conclusions/Relevance: The choice of the anti-obesity medication needs to take into consideration the patient's clinical and biochemical profile, co-morbidities, and drug contra-indications, as well as expected degree of weight loss and improvements in cardio-renal and metabolic risk. It also remains to be seen whether precision medicine may...

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Effect of semaglutide and empagliflozin on cognitive function and hippocampal phosphoproteomic in obese mice

Effect of semaglutide and empagliflozin on cognitive function and hippocampal phosphoproteomic in obese mice

Source : https://www.frontiersin.org/articles/10.3389/fphar.2023.975830/full

Objective: Based on the 4D label-free phosphoproteomic technique, we examined the differences in cognitive function and hippocampal phosphorylated protein expression in high-fat diet-induced obese mice after the intervention of semaglutide...

Conclusion: We found for the first time that a high-fat diet decreased CACNA1D, CACNA1A, and CACNA1B protein serine phosphorylation, which may affect neuronal development, synaptic plasticity, and cognitive function in mice. Notably, semaglutide and empagliflozin increased the phosphorylation of these proteins.

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Obesity and cardiovascular disease: An executive document on pathophysiological and clinical links promoted by the Italian Society of Cardiovascular Prevention (SIPREC)

Obesity and cardiovascular disease: An executive document on pathophysiological and clinical links promoted by the Italian Society of Cardiovascular Prevention (SIPREC)

Source : https://www.frontiersin.org/articles/10.3389/fcvm.2023.1136340/full

The prevalence of obesity worldwide has increased in recent decades not only among adults, but also in children and adolescents. This phenomenon contributes to an increased risk of cardiovascular diseases...

Relevance: The present executive paper is aimed to increase knowledge on the relationships between obesity and CVD, to raise the perception of this condition which is currently insufficient and to support the clinical practice management.

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Health Status Across Major Subgroup of Patients with Heart Failure and Preserved Ejection Fraction - PubMed

Health Status Across Major Subgroup of Patients with Heart Failure and Preserved Ejection Fraction - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36974746/

Health status in patients with HFpEF is impaired, especially in elderly, women, and those with obesity and comorbidities. Empagliflozin improved health status among all key subgroups studied with a greater...

Conclusion: Health status in patients with HFpEF is impaired, especially in elderly, women, and those with obesity and comorbidities. Empagliflozin improved health status among all key subgroups studied with a greater effect in obese patients.

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How cardiologists can manage excess body weight and related cardiovascular risk. An expert opinion

How cardiologists can manage excess body weight and related cardiovascular risk. An expert opinion

Source : https://www.internationaljournalofcardiology.com/article/S0167-5273(23)00465-5/fulltext

Obesity is an important independent cardiovascular (CV) risk factor and a chronic inflammatory disease related to the development of insulin resistance, type 2 diabetes, dyslipidaemia, coronary artery disease, hypertension, heart...

Conclusions/Relevance: The battle against the social and clinical stigma towards obesity must be counteracted by promoting an awareness that elevates obesity to a complex chronic disease. Several actions should be implemented to improve the management of obesity, and cardiologists have a key role for achieving a global approach to patients...

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Effectiveness of semaglutide versus liraglutide for treating post-metabolic and bariatric surgery weight recurrence - PubMed

Effectiveness of semaglutide versus liraglutide for treating post-metabolic and bariatric surgery weight recurrence - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36998152/

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Conclusions: These results show that treatment regimens including semaglutide 1.0 mg weekly lead to superior weight loss compared with liraglutide 3.0 mg daily for treating post-MBS weight recurrence, regardless of procedure type or the magnitude of weight recurrence.

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Phosphorylated proteomics-based analysis of the effects of semaglutide on hippocampi of high-fat diet-induced-obese mice - PubMed

Phosphorylated proteomics-based analysis of the effects of semaglutide on hippocampi of high-fat diet-induced-obese mice - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36998046/

The aim of this paper was to investigate the effects of semaglutide on phosphorylated protein expression, and its neuroprotective mechanism in hippocampi of high-fat-diet-induced obese mice. In total, 16 obese...

Conclusions/Relevance: This study demonstrates for the first time that semaglutide exerts neuroprotective effects by reducing HTT Ser1843, NEFH Ser 661 phosphorylation and increasing NEFL Ser 473 phosphorylation in hippocampal tissue of obese mice.

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