Health
Ozempic’s health benefits keep growing, but are the risks worth it?
One in eight adults in the U.S. has taken Ozempic or another type of GLP-1 drug, surveys show — and now a major new study has revealed a long list of benefits and some little-known risks.
Glucagon-like peptide-1 receptor (GLP-1) agonists — which contain either semaglutide or liraglutide — are prescribed to treat type 2 diabetes and obesity, but previous studies have linked the drugs to other, unexpected benefits.
Researchers at Washington University School of Medicine in St. Louis and the Veterans Affairs (VA) St. Louis Health Care System studied the health outcomes of more than two million veterans with diabetes who took Ozempic or another type of GLP-1 drug between Oct. 1, 2017 and Dec. 31, 2023, according to a university press release.
OZEMPIC ‘MICRODOSING’ IS THE NEW WEIGHT-LOSS TREND
They then compared those outcomes to veterans who took non-GLP-1 diabetes medications.
One in eight adults in the U.S. has taken Ozempic or another type of GLP-1 drug, surveys show. (iStock)
The study, published in the journal Nature on Jan. 20, identified “widespread associations” between Ozempic and some significant health benefits.
Those benefits included reduced risks of neurocognitive disorders like Alzheimer’s and dementia, seizures, and addiction to harmful substances such as alcohol, cannabis, stimulants and opioids.
Other positive health effects included lower risks of suicidal ideation, self-harm, bulimia and psychotic disorders such as schizophrenia.
OZEMPIC COULD HELP REDUCE ALZHEIMER’S RISK FOR SOME, STUDY SUGGESTS: ‘SHIFTING THE PARADIGM’
“GLP-1s have many benefits for at least 42 conditions beyond weight loss – from addiction disorders to memory/cognition problems, blood clots, and infections,” lead study author Ziyad Al-Aly, clinical epidemiologist at Washington University in St. Louis, told Fox News Digital.
Ozempic and other GLP-1 drugs act on receptors in the brain that are involved in impulse control, reward and addiction, Al-Aly noted, which could explain why they are effective in reducing cravings for food and addictive substances.
“GLP-1s have many benefits for at least 42 conditions beyond weight loss.”
“These drugs also reduce inflammation in the brain and result in weight loss; both of these factors may improve brain health and explain the reduced risk of conditions like Alzheimer’s disease and dementia,” he added.
They also found, however, that GLP-1 drugs were linked to several adverse side effects.
Novo Nordisk is the maker of Ozempic, which is approved for type 2 diabetes treatment and reduced risk of cardiovascular events. (Getty Images)
The risk of gastrointestinal problems — including nausea, vomiting, diarrhea and a rarer paralysis of the stomach — were widely known before this new study, the researcher noted.
The new finding, however, was that these drugs can negatively affect the pancreas and kidneys. They were also linked to a higher chance of developing arthritis.
DIABETES AND WEIGHT LOSS DRUGS SHOWN TO REDUCE ALCOHOL-RELATED HOSPITALIZATIONS, STUDY FINDS
“While these adverse effects are uncommon, they can be very serious; physicians must be vigilant for signs of pancreatitis (inflammation of the pancreas) and monitor kidney function among people taking GLP-1RA medications,” Al-Aly stated in the press release.
“Kidney problems can occur without symptoms until the condition is at an advanced stage with limited treatment options.”
Decreased obesity has long been linked with less inflammation in every body system, an expert pointed out. (iStock)
The study, which was funded by the U.S. Department of Veterans Affairs, did have some limitations, the researchers acknowledged.
“This is a discovery approach involving more than two million people and is not a randomized trial,” Al-Aly told Fox News Digital.
“People with real weight loss are happier overall — they feel empowered.”
Seth Kipnis, MD, medical director of bariatric and robotic surgery at Hackensack Meridian Jersey Shore University Medical Center, was not involved in the study but said it confirms what he has seen in his own clinical practice.
“People with real weight loss are happier overall — they feel empowered that they can finally control their weight,” he said in a statement sent to Fox News Digital.
The risk of gastrointestinal problems — including nausea, vomiting, diarrhea and a rarer paralysis of the stomach — were widely known before this new study. (iStock)
Decreased obesity has long been linked with less inflammation in every body system, Kipnis pointed out.
“GI problems and renal problems will always be seen if people are not eating correctly and maintaining hydration,” he said. “If you take these medications without nutritional education, they can be harmful.”
Recommendations and predictions
Based on the findings, the researchers noted, people should be aware that these drugs have not only a “broad beneficial profile,” but also important risks.
“People should use the information to discuss with their provider whether GLP-1 is the right medication for them,” Al-Aly recommended.
“A person with a lot of GI issues may find these meds intolerable.”
“A person who is trying to lose weight and quit smoking or drinking may find GLP-1s especially useful – helping hit two birds with one stone — but a person with a lot of GI (gastrointestinal) issues may find these meds intolerable,” he went on.
“Each person’s health profile is different. Pros and cons should be discussed with the provider.”
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Given their effectiveness at causing weight loss and improving health, GLP-1 drugs will likely become more common and increase in use, Hackensack’s Kipnis predicted.
“We have been prescribing many long-term drugs for hypertension, heart disease, high cholesterol, diabetes, arthritis, reflux and many other diseases without hesitation,” he said.
The new study revealed that GLP-1 drugs could negatively affect the pancreas and kidneys. (iStock)
“This new class of drug, as it lowers obesity, has the potential to lower the use of every other drug that is used to treat obesity-related conditions.”
Not every doctor should prescribe these medications, however, according to Kipnis.
“Doctors with weight management programs and nutrition education programs would likely have better outcomes and fewer side effects,” the doctor said.
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Novo Nordisk, the maker of Ozempic (approved for type 2 diabetes treatment and reduced risk of cardiovascular events) and Wegovy (approved for weight management and reduced risk of cardiovascular events), provided the following statement to Fox News Digital.
“Semaglutide has helped millions of people fight chronic diseases such as type 2 diabetes, cardiovascular disease and obesity. As we look to help even more people with chronic diseases, we are exploring the potential of semaglutide in several other disease states.”
Wegovy, also made by Novo Nordisk, is FDA-approved for weight management and reduced risk of cardiovascular events. (Steve Christo – Corbis/Corbis via Getty Images)
“Patient safety is of utmost importance to Novo Nordisk. The known risks and benefits of semaglutide medicines are described in their FDA-approved product labeling and we work closely with authorities and regulatory bodies worldwide to continuously monitor the safety profile of our products.”
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The company added that the “totality of data” from previous studies “provides reassurance of the safety profile of semaglutide.”
Health
GLP-1s Don’t Work for Everyone: What To Know if You’re Not Seeing Results
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Health
Common eating habit may trigger premature immune system aging, study finds
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Eating too much salt has long been linked to high blood pressure, but new research suggests it could trick the immune system into prematurely aging the blood vessels.
A preclinical study recently published in the Journal of the American Heart Association has identified a biological chain reaction that links a salty diet to cardiovascular decay.
Scientists at the University of South Alabama observed that mice on a high-salt diet experienced rapid deterioration in their blood vessel function.
HIGH SALT INTAKE LINKED TO FASTER MEMORY DECLINE IN ONE GROUP, STUDY FINDS
After just four weeks of high sodium intake, the small arteries responsible for regulating blood flow lost their ability to relax, according to a press release.
The team found that the cells lining these vessels had entered a state of cellular senescence, a form of premature cellular aging in which cells stop dividing and release a mix of inflammatory signals that can damage surrounding tissue.
Excess salt has long been linked to high blood pressure, but a new study goes deeper into its effects on the cardiovascular system. (iStock)
The researchers tried to replicate this damage by exposing blood vessel cells directly to salt in a laboratory dish, but the cells showed no harmful effects.
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This suggests that salt isn’t directly causing damage to the vascular lining but that the real culprit may be the body’s own defense mechanism, the researchers noted.
Excess salt may trigger the immune system to release a molecule called interleukin-16 (IL-16), which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study.
Excess salt may trigger the immune system to release a molecule called interleukin-16, which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study. (iStock)
Once these cells age, they fail to produce nitric oxide, the essential gas that tells arteries to dilate and stay flexible.
To test whether this process could be reversed, the team turned to a class of experimental drugs known as senolytics.
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Using a cancer medication called navitoclax, which selectively clears out aged and dysfunctional cells, the researchers were able to restore nearly normal blood vessel function in the salt-fed mice, the release stated.
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By removing the decaying cells created by the high-salt diet, the drug allowed the remaining healthy tissue to maintain its elasticity and respond correctly to blood flow demands.
Excess salt may trigger the immune system into stopping the cells from dividing, the study suggests. (iStock)
The study did have some limitations. The transition from mouse models to human treatment remains a significant hurdle, the team cautioned.
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Senolytic drugs like navitoclax are still being studied for safety, and the team emphasized that previous trials have shown mixed results regarding their impact on artery plaque.
Additionally, the researchers have not yet confirmed whether the same IL-16 pathway is the primary driver of vascular aging in humans.
Health
Healthy diets spark lung cancer risk in non-smokers as pesticides loom
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Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests.
The observational study, led by Jorge Nieva, M.D., of the USC Norris Comprehensive Cancer Center at Keck Medicine, was presented this month at the American Association for Cancer Research (AACR) annual meeting in San Diego. It has not yet been peer-reviewed.
Researchers looked at dietary, smoking and demographic data for 187 patients who were diagnosed with lung cancer at age 50 or younger.
PANCREATIC CANCER PATIENT SURVIVAL DOUBLED WITH HIGH DOSE OF COMMON VITAMIN, STUDY FINDS
They found that among non-smokers, there was a link between healthier-than-average diets – rich in fruits, vegetables and whole grains – and the chance of lung cancer development.
Young lung cancer patients ate more servings of dark green vegetables, legumes and whole grains compared to the average U.S. adult, the researchers found.
Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests. (iStock)
The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association.
“Commercially produced (non-organic) fruits, vegetables and whole grains are more likely to be associated with a higher residue of pesticides than dairy, meat and many processed foods,” according to Nieva. He also noted that agricultural workers exposed to pesticides tend to have higher rates of lung cancer.
HIDDEN VIRUS INSIDE GUT BACTERIA LINKED TO DOUBLED COLORECTAL CANCER RISK, STUDY FINDS
“There is a large subset of lung cancer patients whose disease is not caused by smoking,” Nieva told Fox News Digital.
The disease is becoming more common in non-smokers 50 and younger, especially women – despite the fact that smoking rates have been falling for decades, the researcher noted.
The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association. (iStock)
“These patients tend to have eaten much healthier diets before their diagnosis than the average American,” he went on. “We need to support research into understanding why Americans – and women in particular – who no longer smoke very much are still having lung cancer,” he said.
DEATHS FROM ONE TYPE OF CANCER ARE SURGING AMONG YOUNGER ADULTS WITHOUT COLLEGE DEGREES
The study did have some limitations, Nieva acknowledged, primarily that it relied on survey data and was limited by the participants’ memories of their food intake.
“Also, the survey participants were self-selected, and this could have biased the findings,” he told Fox News Digital.
“There is a large subset of lung cancer patients whose disease is not caused by smoking.”
The researchers did not test specific foods for pesticides, relying instead on average pesticide levels for certain types of food. Looking ahead, they plan to test patients’ blood and urine samples to directly measure pesticide levels, Nieva said.
Although the study shows only an association and does not prove that pesticides caused lung cancer, Nieva recommends that people wash their produce before eating and choose organic foods whenever possible.
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“This work represents a critical step toward identifying modifiable environmental factors that may contribute to lung cancer in young adults,” said Nieva. “Our hope is that these insights can guide both public health recommendations and future investigation into lung cancer prevention.”
“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but is by no means certain,” a doctor said. (AP Photo/Charlie Neibergall)
Dr. Marc Siegel, Fox News senior medical analyst, said the study is “interesting,” but that it “raises far more questions than it answers.”
“It is a small study (around 150) and observational, so no proof,” the doctor, who was not involved in the research, told Fox News Digital.
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“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but it is by no means certain,” Siegel went on. “How much exposure is needed? How much of it gets into food and in which areas? This requires much further study.”
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Kayla Nichols, communications director for Pesticide Action & Agroecology Network, a distributed global network, said the organization agrees with the study’s conclusion that more research should be done on the rise in lung cancer, particularly in individuals eating diets higher in produce and fiber.
“There is a large subset of lung cancer patients whose disease is not caused by smoking,” the researcher told Fox News Digital. (iStock)
“There is a bounty of existing research that already links pesticide exposure to increased risk of multiple types of cancers,” Nichols, who was also not involved in the study, told Fox News Digital. She called for more research on chronic, low-level exposures to pesticides, as well as more effective policies to protect the public from pesticide residues on food.
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The study was supported by the National Institutes of Health and the National Cancer Institute, as well as industry partners including AstraZeneca and Genentech, among others.
Fox News Digital reached out to several pesticide companies and trade groups for comment.
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