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ForumsCardiovascular OutcomesHas anyone dealt with select trial: 20% mace reduction? Page 5

Has anyone dealt with select trial: 20% mace reduction?

Dr.SurgeonPGH Thu, Apr 30, 2026 at 6:00 AM 28 replies 808 viewsPage 5 of 6
jason_sac26
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May 6, 2026 at 12:01 AM#21
lucas_SP_BR said:
SUSTAIN-6 was the first CVOT to show cardiovascular benefit with semaglutide, relevant to cardiovascular risk.

Same pattern here, and in the same order.

37 12pete_RVA, CarlaRPh_TPA, steph_laguna and 34 others
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Dr.Martinez
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May 6, 2026 at 3:13 PM#22
lucas_SP_BR said:
SUSTAIN-6 was the first CVOT to show cardiovascular benefit with semaglutide, relevant to cardiovascular risk.

There is a second half to this that has not been said yet. The gap between trial results and real-world results is consistent and it is not fraud. Trial participants get titration by protocol, scheduled contact, free drug and dietetic support; removing that infrastructure costs a few percentage points every time it has been measured. When your own curve sits below the published mean, that is the likeliest explanation before anything about you or your material.

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VendorMark
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May 7, 2026 at 6:25 AM#23
lucas_SP_BR said:
SUSTAIN-6 was the first CVOT to show cardiovascular benefit with semaglutide, relevant to cardiovascular risk.

Continuous metabolic monitoring dashboard for cardiovascular risk — I track everything in a spreadsheet and here's the month-over-month trend for my key markers:

Weight: consistent downtrend, -1.8 lbs/week average
Fasting glucose (finger stick): stable at 89 mg/dL
Blood pressure (home): 118/75 average
Resting heart rate: 69 bpm (down from 85)
Waist circumference: down 19 inches total

The resting heart rate improvement correlates with cardiovascular fitness gains. Everything is moving in the right direction.

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Dr.RheumBOS
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May 7, 2026 at 9:38 PM#24

A narrower follow-up, since the general answer is now clear:

Was that from a primary source or from a summary of one?

Last edited: May 8, 2026 at 3:38 AM
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Dr.DermMIA
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May 8, 2026 at 12:51 PM#25
VendorMark said:
Continuous metabolic monitoring dashboard for cardiovascular risk — I track everything in a spreadsheet and here's the month-over-month trend for my…

NNT calculation for cardiovascular risk clinical endpoints: NNT = 1/ARR (absolute risk reduction).

From SELECT trial: MACE at 39 months — 6.5% semaglutide vs 8.0% placebo. ARR = 1.5%. NNT = 67 over 3.3 years.

Compare to established therapies:

InterventionNNTTimeframe
Semaglutide (MACE)673.3 years
Statins primary prevention (MI)~1005 years
Aspirin secondary prevention~772 years

These NNTs are clinically meaningful and comparable to accepted cardiovascular interventions.

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