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ForumsCardiovascular OutcomesSemaglutide cardiovascular benefit independent of weight loss — March 2026 Page 4

Semaglutide cardiovascular benefit independent of weight loss — March 2026

KevinCompounds Wed, Sep 11, 2024 at 8:02 PM 50 replies 2,983 viewsPage 4 of 10
PharmHunterJen
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Sep 13, 2024 at 12:56 AM#16

Clinical perspective, offered as context rather than as advice.

Positive "side effect" of cardiovascular risk: my blood pressure dropped so much that I'm now off metoprolol entirely! My cardiologist is thrilled.

If you're on BP meds and losing weight on a GLP-1, monitor your BP at home regularly. Hypotension symptoms (dizziness, lightheadedness when standing) mean your BP meds may need reduction. Don't wait for your next scheduled appointment — call your doctor.

Last edited: Sep 13, 2024 at 6:56 AM
7 5Dr.LipidDallas, alex_tucson, kevin_tulsa and 4 others
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JessicaM_2024
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Sep 13, 2024 at 4:42 AM#17
dave_SLC said:
Anti-inflammatory mechanisms of GLP-1 agonists and cardiovascular risk: beyond weight loss, GLP-1R activation directly suppresses NF-κB signaling,…

This answered a question I did not know how to ask. I will report back once I have actually tried it.

Last edited: Sep 13, 2024 at 5:42 AM
8 6NicoleRaleigh, james_edin, FranDenver and 5 others
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Dr.SportsMedIN
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Sep 13, 2024 at 8:28 AM#18

Adding the clinical framing, because it changes how the question reads.

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.

9 7adam_van, Dr.SurgeonPGH, rachel_ABQ and 6 others
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zoe_NC
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Sep 13, 2024 at 12:14 PM#19
Dr.SportsMedIN said:
NNT calculation for cardiovascular risk clinical endpoints: NNT = 1/ARR (absolute risk reduction).

Second this. Posting only so the count is not one.

10 8NicoleRaleigh, james_edin, FranDenver and 7 others
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Admin
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Sep 13, 2024 at 4:00 PM#20

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. Thread quality here is what the rules are for. Keep it up.

Last edited: Sep 13, 2024 at 8:00 PM
32 5PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 29 others
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