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Why microdosing Ozempic could become as common as taking a multivitamin

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Why microdosing Ozempic could become as common as taking a multivitamin

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They may have gained popularity for diabetes and weight loss, but GLP-1 medications like Ozempic and Wegovy have been linked to ever-expanding health benefits.

In fact, some doctors — including Dr. Terry Dubrow, a plastic surgeon and TV personality based in Newport Beach, California — recommend that everyone takes a low daily dose, even if they don’t need to lose weight.

Dubrow spoke on camera with Fox News Digital about the benefits of “microdosing” these medications. (See the video at the top of this article.)

How GLP-1s work

GLP-1 receptor agonists work by mimicking a hormone called glucagon-like peptide-1, which is released from the gut after eating.

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The drugs help to regulate blood sugar, slow down emptying of the stomach and diminish appetite, and have also been shown to reduce the risk of heart disease.

Dr. Terry Dubrow, a plastic surgeon and TV personality based in Newport Beach, California, recommends that everyone takes a low daily dose of a GLP-1, even if they don’t need to lose weight. (Terry Dubrow)

“Sugar’s the enemy, and these drugs affect sugar in your blood,” Dubrow told Fox News Digital. “They affect the way insulin reacts.”

GLP-1s help insulin move the glucose (sugar) out of the bloodstream and into the body’s cells, where it can be used for energy or stored, the doctor said. The drugs also help to prevent the inflammation and damage sugar can cause in the blood vessels, nerves and organs.

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“I don’t think anyone would argue that if there was a way to manipulate the amount of sugar and inflammation your body’s exposed to, that is something we want to lean into. And that’s exactly what these drugs do,” Dubrow added.

In addition to regulating blood sugar and triggering weight loss, GLP-1s have also been approved to reduce the risk of cardiovascular events and kidney disease in certain patients.

“I have never seen a drug in the history of medicine be on such a rapid path to approval.”

“Even if you’re not overweight, being on these GLP-1 drugs … helps to minimize and prevent a repeat recurrent heart attack,” Dubrow said.

Semaglutide was also recently approved for MASH (metabolic dysfunction-associated steatohepatitis), an inflammatory form of fatty liver disease.

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Dubrow spoke on camera with Fox News Digital about the benefits of GLP-1 medications. (Fox News Digital)

GLP-1s are also being studied for potential cognitive benefits in Parkinson’s patients.

“I have never seen a drug in the history of medicine be on such a rapid path to approval,” Dubrow said.

The case for microdosing

Along with other experts, Dubrow is an advocate for microdosing, which is where people take low, steady doses of GLP-1s every day, even if they don’t need them for diabetes or obesity.

While patients with diabetes take doses that increase every four weeks, microdosing entails using a low-level dose that doesn’t go up.

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A younger population on TikTok has zeroed in on microdosing, Dubrow pointed out — and he thinks everyone should be doing it.

“I am obsessed with the concept of microdosing,” he said. “I think maybe half the starting dose for diabetes is the way to go — and you probably don’t need it every seven days, it’s probably every 10 days, just to sort of modulate the amount of sugar in the blood.”

“Even if you’re not overweight, being on these GLP-1 drugs … helps to minimize and prevent a repeat recurrent heart attack,” Dubrow said. (iStock)

The doctor noted that there are still a lot of unknowns with GLP-1 medications.

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“We are just figuring out now how to use these drugs for different indications, for different reasons,” he said. “We’re learning as we’re using it.”

“I am obsessed with the concept of microdosing.”

As with other drugs, like Botox, Dubrow said there is a bit of “human experimentation” at play.

“We’re figuring it out, and we’re teaching the medical profession how to do it. The patients are telling us how to use these drugs.”

Potential risks

GLP-1 medications have been linked to several potential risks. The most prevalent is gastrointestinal issues, such as nausea and vomiting.

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Others have reported an increased risk of pancreatitis, muscle loss and thyroid tumors.

“I read every study that comes out on these drugs, and I can tell you, it’s very clear they don’t cause pancreatitas,” Dubrow said. 

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“In fact, if you really look at the populations who have been using it, pancreatitis is less in those populations.”

Dubrow confirmed, however, that the drug has been linked to an increased risk of the very rare medullary cancer of the thyroid. 

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Those who experience severe side effects from GLP-1s should talk to a doctor, Dubrow advised.  (iStock)

“If you have a family history of that, that’s a contraindication to you using these drugs,” he said. 

Regarding the digestive side effects, the doctor said the medications do slow down the GI tract, but it’s been shown that the body adjusts to that over time. 

“These particular drugs are natural hormones that occur in our small intestine, and you get used to the side effects. They go away.”

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The severity of side effects is linked to the dose amount, Dubrow noted.

“The low dose, particularly the microdose, really has a low propensity toward the constipation, the nausea, the potential diarrhea, the GERD (reflux),” he said. “I think those side effects are less significant for people who microdose.”

To counteract the risk of muscle loss, Dubrow recommends increasing protein intake and incorporating resistance training as a core component of an exercise routine. 

Those who do experience severe side effects should talk to a doctor, he advised. 

Off-label use of GLP-1s, such as for microdosing, is common, Dubrow said — “but finding a doctor willing to prescribe can be difficult.” (iStock)

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Drugmakers weigh in

When contacted by Fox News Digital, manufacturers of GLP-1 medications warned against microdosing the products.

“Lilly does not have any data on the benefits or risks of microdosing of Zepbound and Mounjaro,” said a spokesperson for Eli Lilly, maker of the GLP-1 drugs Mounjaro and Zepbounda. “Both autoinjectors and Zepbound vials are approved for single-use only — dose-splitting or ‘microdosing’ is not contemplated by the FDA label. As such, off-label use of Zepbound and Mounjaro may pose patient safety risks.”

“Off-label use of Zepbound and Mounjaro may pose patient safety risks.”

Novo Nordisk, maker of Ozempic and Wegovy, said it does not condone “misuse” of its products. 

“It’s important to understand that for Wegovy, only the marked doses on the single-use, fixed-dose pens (0.25, 0.5, 1.0, 1.7 and 2.4 mg) are approved for use and represent an authentic FDA-approved medicine,” a spokesperson told Fox News Digital. “The starting dose of Wegovy® is 0.25 mg once a week, and the dose will gradually increase every four weeks. Patients should work with their healthcare professional to select either 1.7 mg or 2.4 mg for the maintenance dose.” 

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CHEAP OZEMPIC KNOCK-OFFS HAVE RISEN IN POPULARITY

“It is also important to note that the authentic Wegovy injectable pen is designed as a single-use pen, the dose is already set, and should not be altered or tampered with, and the pen must be disposed after one use.” 

“Ozempic is a multi-use pen with one pen and multiple needles,” the spokesperson added.

Accessing GLP-1s

Dubrow said he’s not concerned about supply issues amid the growing popularity of GLP-1s, as major drug companies have the resources to “scale up” to meet the demand.

Off-label use of GLP-1s, such as for microdosing, is common, Dubrow said — “but finding a doctor willing to prescribe can be difficult.”

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The doctor cautioned against buying these drugs from online marketplaces, which he referred to as the “wild wild west.”

“It’s hard to find these drugs online from compounding pharmacies, because essentially they’re going rogue — it’s illegal. They’re not allow to do it,” he warned. 

“These drugs are natural hormones that occur in our small intestine, and you get used to the side effects.”

“So if you’re getting it from rogue pharmacies that aren’t allowed to do it or are willing to bend the rules, what is it? You don’t know what you’re getting.”

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“It may be an adulterated, weird version that has side effects or that’s not effective.”

Looking ahead

There are several next-generation drugs in development that combine multiple hormone pathways, Dubrow said.

“I predict within five years, we’ll have a pill … designed to manipulate hunger and insulin resistance,” he predicted.

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Overall, Dubrow said, GLP-1s are “here to stay.”

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“They’re just going to get better, and we’re going to learn how to use them in a more appropriate and clinically effective way,” he said. “So fasten your seatbelt. If you’re not on them now, you will be later.”

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Vanessa Williams, 62, Opens up About Weight Loss and HRT After Menopause

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Common vision issue linked to type of lighting used in Americans’ homes

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Common vision issue linked to type of lighting used in Americans’ homes

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Nearsightedness (myopia) is skyrocketing globally, with nearly half of the world’s population expected to be myopic by 2050, according to the World Health Organization.

Heavy use of smartphones and other devices is associated with an 80% higher risk of myopia when combined with excessive computer use, but a new study suggests that dim indoor lighting could also be a factor.

For years, scientists have been puzzled by the different ways myopia is triggered. In lab settings, it can be induced by blurring vision or using different lenses. Conversely, it can be slowed by something as simple as spending time outdoors, research suggests.

Nearsightedness occurs when the eyeball grows too long from front to back, according to the American Optometric Association (AOA). This physical elongation causes light to focus in front of the retina rather than directly on it, making distant objects appear blurry.

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The study suggests that myopia isn’t caused by the digital devices themselves, but by the low-light environments where they are typically used. (iStock)

Researchers at the State University of New York (SUNY) College of Optometry identified a potential specific trigger for this growth. When someone looks at a phone or a book up close, the pupil naturally constricts.

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“In bright outdoor light, the pupil constricts to protect the eye while still allowing ample light to reach the retina,” Urusha Maharjan, a SUNY Optometry doctoral student who conducted the study, said in a press release.

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“When people focus on close objects indoors, such as phones, tablets or books, the pupil can also constrict — not because of brightness, but to sharpen the image,” she went on. “In dim lighting, this combination may significantly reduce retinal illumination.”

High-intensity natural light prevents myopia because it provides enough retinal stimulation to override the “stop growing” signal, even when pupils are constricted. (iStock)

The hypothesis suggests that when the retina is deprived of light during extended close-up work, it sends a signal for the eye to grow.

In a dim environment, the narrowed pupil allows so little light through that the retinal activity isn’t strong enough to signal the eye to stop growing, the researchers found.

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In contrast, being outdoors provides light levels much brighter than indoors. This ensures that even when the pupil narrows to focus on a nearby object, the retina still receives a strong signal, maintaining healthy eye development.

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The team noted some limitations of the study, including the small subject group and the inability to directly measure internal lens changes, as the bright backgrounds used to mimic the outdoors made pupils too small for standard equipment.

Researchers believe that increasing indoor brightness during close-up work could be a simple, testable way to slow the global nearsightedness epidemic. (iStock)

“This is not a final answer,” Jose-Manuel Alonso, MD, PhD, SUNY distinguished professor and senior author of the study, said in the release.

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“But the study offers a testable hypothesis that reframes how visual habits, lighting and eye focusing interact.”

The study was published in the journal Cell Reports.

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Some 80-year-olds still have razor-sharp brains — and now scientists know why

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Some 80-year-olds still have razor-sharp brains — and now scientists know why

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Older adults classified as “SuperAgers” generate at least twice as many neurons in the hippocampus than their typical aging peers, a new study has revealed.

These findings, released on Wednesday by the University of Illinois Chicago and Northwestern University, could help explain why SuperAgers have exceptional memory and cognitive resilience even well past 80 years old.

Northwestern has been studying SuperAgers for decades, defining them as “extraordinary individuals aged 80 and above whose memory performance rivals that of people three decades younger.” The researchers use special memory recall tests to make this determination.

In this study, they analyzed post-mortem brain tissue — nearly 356,000 individual cell nuclei — with a focus on the hippocampus, which is essential for forming new memories and supporting learning and spatial navigation.

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They compared tissue from SuperAgers, typical older adults, older adults with early dementia/Alzheimer’s and younger healthy adults.

SuperAger Ralph Rehbock sits with his wife in his home. New findings from the University of Illinois Chicago and Northwestern University could help explain why SuperAgers have exceptional memory and cognitive resilience well past 80 years old. (Shane Collins, Northwestern University)

The researchers found that SuperAgers produced at least twice as many new neurons compared to “cognitively normal” older adults and those with Alzheimer’s pathology.

They also found that changes in certain brain support cells (astrocytes) and key memory cells (CA1 neurons) are linked to preserved cognitive ability, helping to keep the brain sharp with age.

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The SuperAgers also had different genetic activity patterns in their brains compared to those in Alzheimer’s disease. 

“SuperAgers have more immature neurons and neuroblasts in the hippocampus, which is an indication of stronger neurogenesis when compared with other groups,” study co-author Changiz Geula, research professor of cell and developmental biology and neuroscience at Northwestern University Feinberg School of Medicine, told Fox News Digital.

Northwestern University study co-author Ivan Ayala examines a SuperAger brain sample on a slide. (Shane Collins, Northwestern University)

“The study also showed that specific cells in the hippocampus show unique gene expression profiles that relate to neuronal function and transmission and are associated with superior cognitive function.”

The findings were published in the journal Nature.

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“We’ve always said that SuperAgers show that the aging brain can be biologically active, adaptable and flexible, but we didn’t know why,” said co-author Tamar Gefen, associate professor of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine and a neuropsychologist at Northwestern’s Mesulam Institute for Cognitive Neurology and Alzheimer’s Disease, in the release. 

“This is biological proof that their brains are more plastic, and a real discovery that shows that neurogenesis of young neurons in the hippocampus may be a contributing factor.”

Dr. Tamar Gefen examines a slide of a SuperAger brain. (Shane Collins, Northwestern University)

Dr. Marc Siegel, Fox News senior medical analyst, commented that the study discovered signs of plasticity and regeneration in SuperAgers.

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“It confirmed not only preservation of brain tissue in the hippocampus, which is crucial for memory and cognition, but also regeneration and increased development of brain cells in that area,” Siegel, who was not involved in the study, told Fox News Digital.

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“This is an important study because it may lead to certain cell gene treatments that could lead to more SuperAgers,” the doctor said. “It may also lead to more advanced testing to determine who will be a SuperAger and guide clinical treatment and management.”

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The study did have some limitations, primarily that the research relied on tissue samples taken at one specific point, instead of tracking changes over time.

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Brain samples are fixed in blocks of wax so they can be stored and examined. (Shane Collins, Northwestern University)

Geula noted that studies using human brain tissue typically involve fewer cases than animal research, which can be a limitation. However, he emphasized that each case in this study was analyzed thoroughly.

“While these findings are not directly translatable to changes in everyday life and activities, they suggest that cognitive resilience is associated with greater integrity of many brain systems,” he told Fox News Digital. “This implies that attending to brain health is crucial for maintaining cognitive function in old age.”

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“Thus, maintaining good overall health by keeping systemic diseases in check, maintaining a healthy diet and exercise, and ensuring the elderly remain mentally active assume more importance.”

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The study was funded by the National Institute on Aging, which is part of the National Institutes of Health.

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