JAMA Clinical Reviews

Obesity Medications

27 snips
Jul 22, 2024
Dr. Robert F. Kushner from Northwestern University discusses new weight-loss drugs for obesity management. Topics include nutrient-stimulated hormone-based meds, less common medications, comparing terzepatide to semaglutide, and future weight loss drug advancements. The focus is on improving overall health outcomes with successful interventions.
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INSIGHT

Weight Regain After Stopping Drugs

  • Stopping these medications abruptly leads to regaining half to two-thirds of lost weight within a year.
  • Research explores intermittent dosing, dose reduction, or switching to oral drugs to maintain weight loss.
ADVICE

Long-Term Use of Obesity Drugs

  • Consider long-term medication for obesity, treating it like a chronic disease such as diabetes or hypertension.
  • Continue drugs if well tolerated and effective; tapering or switching to cost-effective alternatives is under investigation.
INSIGHT

Semaglutide Long-Term Safety

  • Semaglutide has been widely used for years at lower doses for diabetes with no new safety concerns.
  • Ongoing surveillance shows it remains safe for long-term use in obesity treatment.
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