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Real-World Study Finds Lower Weight Loss with GLP-1 Drugs Due to Early Discontinuation

  • Cleveland Clinic researchers published a June 10, 2025 study in Obesity showing semaglutide and tirzepatide led to less weight loss in real-world US patients from 2021 to 2023.
  • The study indicated that patients experienced less average weight loss compared to clinical trials, largely due to more frequent stopping of therapy and the administration of reduced maintenance doses in routine clinical practice.
  • Researchers analyzed 7,881 adults with severe obesity, including over 1,300 with pre-diabetes, grouping them by early or late medication discontinuation to assess weight and glycemic outcomes.
  • Participants who persisted on high dosages lost up to 18% body weight with tirzepatide, while early discontinuation led to an average 3.6% weight loss, and normal blood sugar normalized in 67.9% who continued treatment.
  • The findings suggest that real-world discontinuation and dosage adjustments limit these drugs’ effectiveness for obesity and blood sugar control, especially in pre-diabetic patients, highlighting the importance of adherence.
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Less Weight Loss in Real-World Study of GLP-1s

·Washington, United States
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Medical Xpress broke the news in on Tuesday, June 10, 2025.
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