Why do Ozempic and Wegovy seem to treat everything?

Here’s a summary of this article I contributed to. Read the full article on NewScientist.

Origins and Development:

  • Ozempic is based on the hormone GLP-1, discovered in the 1980s.

  • Initially developed for diabetes treatment, Novo Nordisk launched semaglutide (Ozempic) in 2017 as a weekly injection, followed by Wegovy in 2021 for obesity.

  • Wegovy helps users lose 15% of body weight in one year despite its high cost ($1,300/month).

Mechanisms of Action:

  • GLP-1 agonists:

    • Signal the pancreas to release insulin, lowering blood sugar.

    • Slow digestion, keeping users fuller longer.

    • Impact brain areas related to motivation, reward, and appetite.

    • Potentially improve gut flora and metabolism.

Health Benefits:

  • Proven to improve heart health, reduce cholesterol, and lower the risk of stroke or heart attack.

  • Anti-inflammatory properties benefit conditions like asthma, arthritis, psoriasis, and sepsis.

  • Promising results for Alzheimer's: reduced brain shrinkage and slower cognitive decline.

  • May aid in addiction treatment by reducing reward-driven behaviors for food, alcohol, and drugs.

Mental Health Impact:

  • Users report reduced "food noise," better emotional balance, and improved mood.

  • Research suggests it enhances brain function and mood-regulating neurotransmitters like dopamine and serotonin.

Side Effects and Concerns:

  • Common issues include constipation and muscle wasting.

  • "Ozempic face": accelerated facial aging due to fat tissue loss.

  • Questions remain about long-term effects, including potential unintended consequences.

Future Potential:

  • Researchers are exploring its applications for cancer, arthritis, and more.

  • While some benefits will hold up under rigorous trials, others may not.

Key Takeaway:

  • Ozempic and similar drugs are groundbreaking but require further study to fully understand their mechanisms and broader implications.

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