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Evidence-based GLP-1 & peptide discussion since 2023
ForumsCardiovascular OutcomesSELECT cost-effectiveness — looking for input Page 4

SELECT cost-effectiveness — looking for input

claudia_zurich Tue, Nov 11, 2025 at 1:22 PM 36 replies 1,506 viewsPage 4 of 8
mel_PDX
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Nov 20, 2025 at 8:09 PM#16
NurseAsh_DET said:
Anti-inflammatory mechanisms of GLP-1 agonists and cardiovascular risk: beyond weight loss, GLP-1R activation directly suppresses NF-κB signaling,…

Second this.

Last edited: Nov 21, 2025 at 2:09 AM
20 20Dr.NateNeph, PharmD_Rodriguez, julia.endo and 17 others
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SaraMom3
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Nov 21, 2025 at 10:02 AM#17

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

Did your prescriber agree with that reading, and if not what was their objection?

Last edited: Nov 21, 2025 at 2:02 PM
19 19ChrisMacros, KetoKyle, CanadaChris and 16 others
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SandraNC_45
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Nov 21, 2025 at 11:56 PM#18
LabKate said:
CRP reduction on cardiovascular risk — this is the lab result that excites me most: Baseline hsCRP: 7.0 mg/L (high cardiovascular risk) Month 6 hsCRP:…
LabKate said:
...we don't know the long-term effects of cardiovascular risk...

This is a fair point, and I think intellectual honesty requires acknowledging it. GLP-1 agonists in their current form have ~8-10 years of human exposure data. That's not nothing, but it's not 30+ years either.

However: the risk-benefit calculation should also consider the KNOWN long-term effects of untreated obesity — diabetes, cardiovascular disease, cancer, joint destruction, reduced lifespan by 5-10 years.

Uncertainty about GLP-1 long-term safety vs certainty about obesity consequences. The calculus seems clear to me, but reasonable people can disagree.

18 18NicoleRaleigh, james_edin, FranDenver and 15 others
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wanda_boise
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Nov 22, 2025 at 1:50 PM#19
LabKate said:
CRP reduction on cardiovascular risk — this is the lab result that excites me most: Baseline hsCRP: 7.0 mg/L (high cardiovascular risk) Month 6 hsCRP:…

6 month update on cardiovascular risk: down 42 lbs, off blood pressure meds, A1C normalized. Genuinely life-changing.

Last edited: Nov 22, 2025 at 6:50 PM
17 17nick_SD_fit, ben_calgary, patPC_UT and 14 others
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Admin
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Nov 23, 2025 at 3:44 AM#20

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Tagging this one for the weekly digest.

45 20PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 42 others
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