Semaglutide and other drugs in its class have become increasingly popular for the treatment of Type 2 Diabetes Mellitus and weight loss. Why Does Semaglutide Cause Depression? This article, brought to you by WHY.EDU.VN, delves into the potential link between semaglutide use and the emergence of depression. We examine the possible reasons behind this association, explore existing research, and offer guidance on what to do if you experience mood changes while taking this medication. Addressing mood swings and related mental health concerns. Keep reading to learn about GLP-1 receptor agonists, mental health, and medication side effects.
1. Understanding Semaglutide and GLP-1 Receptor Agonists
Semaglutide belongs to a class of medications known as glucagon-like peptide-1 (GLP-1) receptor agonists. These drugs mimic the effects of GLP-1, a natural hormone in the body that plays a crucial role in regulating blood sugar levels and appetite. Semaglutide is prescribed to individuals with type 2 diabetes to improve glycemic control and can also promote weight loss. Medications like semaglutide can improve HbA1c levels and assist with weight management.
Alt Text: A close-up of a semaglutide injection pen, highlighting the medication’s delivery mechanism and usage in diabetes and weight management.
GLP-1 receptor agonists work by:
- Stimulating insulin release: When blood sugar levels are high, semaglutide prompts the pancreas to release more insulin, helping to lower blood glucose.
- Suppressing glucagon secretion: Glucagon is a hormone that raises blood sugar levels. Semaglutide reduces glucagon secretion, further aiding in glucose control.
- Slowing gastric emptying: Semaglutide delays the rate at which food empties from the stomach, leading to a feeling of fullness and reduced appetite.
2. The Emerging Concern: Semaglutide and Mood Changes
While semaglutide has demonstrated efficacy in managing diabetes and promoting weight loss, there have been reports of negative mood changes, including depression, associated with its use. It’s essential to understand that this is an area of ongoing investigation, and the exact relationship between semaglutide and mood remains unclear.
The European Medicines Agency (EMA) initiated a review in July 2023 to assess data on the risk of suicidal thoughts and self-harm associated with GLP-1 receptor agonists, including semaglutide (Ozempic, Wegovy) and liraglutide (Saxenda). This review highlights the growing awareness and concern surrounding the potential mental health effects of these medications.
3. Potential Mechanisms Linking Semaglutide to Depression
The exact mechanisms by which semaglutide might influence mood are not fully understood. However, several potential factors may contribute to the observed association:
- Impact on Brain Function: GLP-1 receptors are not only found in the pancreas and gut but also in the brain. These receptors are present in brain regions involved in mood regulation, such as the amygdala and hippocampus. Semaglutide’s activation of these receptors may directly influence neurotransmitter activity and neural circuits related to mood.
- Gut-Brain Axis: The gut and brain are interconnected through the gut-brain axis, a complex communication network involving nerves, hormones, and immune molecules. Semaglutide’s effects on the gut microbiome and gastrointestinal function may indirectly impact brain function and mood.
- Inflammation: Chronic inflammation has been implicated in the development of depression. Semaglutide can influence inflammatory pathways in the body, and these changes may potentially affect mood in some individuals.
- Weight Loss and Body Image: Significant weight loss, while often desired, can sometimes trigger emotional and psychological changes. Altered body image, concerns about maintaining weight loss, and the psychological impact of dietary changes may contribute to mood disturbances.
- Blood Sugar Fluctuations: While semaglutide aims to stabilize blood sugar levels, some individuals may experience fluctuations, particularly during the initial stages of treatment. These fluctuations can impact energy levels, mood, and cognitive function.
- Individual Vulnerability: People with a prior history of depression, anxiety, or other mental health conditions may be more susceptible to experiencing mood changes while taking semaglutide. Genetic factors, stress levels, and other individual characteristics may also play a role.
4. Existing Research and Clinical Evidence
The available research on the relationship between semaglutide and depression is limited and somewhat inconsistent. Some studies have not found a significant association, while others have reported a possible link.
- A randomized controlled trial of liraglutide, another GLP-1 receptor agonist, showed a slight numerical imbalance in suicidal ideation reports in the liraglutide group. However, no significant differences were observed in suicidal ideation/behavior or depression based on prospective questionnaires.
- An experimental study in rodents indicated that GLP-1 agonists induced anxiety immediately after the start of treatment. This anxiety subsided with chronic treatment and was replaced by positive effects on mood, as evidenced by reduced depression-like behavior.
- Case reports and anecdotal evidence have described instances of depression, anxiety, and suicidal thoughts in individuals taking semaglutide.
It’s important to note that research in this area is ongoing, and larger, more comprehensive studies are needed to fully understand the potential impact of semaglutide on mental health.
5. Recognizing the Symptoms: What to Watch Out For
If you are taking semaglutide or considering starting the medication, it’s crucial to be aware of the potential symptoms of depression and other mood changes. These may include:
- Persistent sadness, emptiness, or hopelessness
- Loss of interest or pleasure in activities you once enjoyed
- Changes in appetite or weight
- Sleep disturbances (insomnia or oversleeping)
- Fatigue or loss of energy
- Feelings of worthlessness or guilt
- Difficulty concentrating, remembering, or making decisions
- Irritability, restlessness, or anxiety
- Thoughts of death or suicide
If you experience any of these symptoms while taking semaglutide, it’s essential to seek medical advice from your healthcare provider.
6. What to Do If You Experience Mood Changes
If you suspect that semaglutide is affecting your mood, here are some steps you can take:
- Talk to your doctor: The first and most important step is to discuss your concerns with your doctor. They can evaluate your symptoms, review your medical history, and determine if semaglutide is likely contributing to your mood changes.
- Don’t stop the medication abruptly: Do not stop taking semaglutide without consulting your doctor. Suddenly discontinuing the medication can lead to blood sugar fluctuations and other health problems.
- Consider a dosage adjustment: In some cases, your doctor may recommend adjusting the dosage of semaglutide to see if it alleviates your mood symptoms.
- Explore alternative medications: If semaglutide is determined to be the cause of your mood changes, your doctor may suggest switching to a different diabetes medication or weight loss treatment.
- Seek mental health support: If you are experiencing symptoms of depression or anxiety, consider seeking help from a mental health professional, such as a therapist or psychiatrist. They can provide counseling, therapy, or medication to help manage your mood.
- Monitor your mood: Keep a journal or use a mood tracking app to monitor your mood and identify any patterns or triggers.
- Practice self-care: Engage in activities that promote your mental and emotional well-being, such as exercise, meditation, spending time in nature, or connecting with loved ones.
- Rule out other causes: It’s important to rule out other potential causes of your mood changes, such as stress, relationship problems, financial difficulties, or underlying medical conditions.
7. Semaglutide and Mental Health: A Balanced Perspective
It’s crucial to maintain a balanced perspective when considering the potential link between semaglutide and depression. While some individuals may experience mood changes while taking the medication, it’s important to remember that:
- Not everyone who takes semaglutide will develop depression.
- Depression can have many causes, and semaglutide may not be the sole factor.
- The benefits of semaglutide in managing diabetes and promoting weight loss may outweigh the potential risks for some individuals.
The decision to take semaglutide should be made in consultation with your doctor, considering your individual medical history, risk factors, and treatment goals.
8. Semaglutide Alternatives for Diabetes and Weight Loss
If semaglutide is not suitable for you due to mood changes or other side effects, several alternative medications and lifestyle modifications can help manage diabetes and promote weight loss:
Category | Medication/Approach | Mechanism of Action |
---|---|---|
GLP-1 Receptor Agonists | Liraglutide, Dulaglutide, Exenatide | Similar to semaglutide, but may have different side effect profiles for some individuals. |
SGLT2 Inhibitors | Canagliflozin, Dapagliflozin, Empagliflozin | Increase glucose excretion in the urine, lowering blood sugar levels and promoting weight loss. |
DPP-4 Inhibitors | Sitagliptin, Saxagliptin, Linagliptin | Enhance the effects of GLP-1 by preventing its breakdown, leading to improved blood sugar control. |
Metformin | Metformin | Reduces glucose production in the liver and improves insulin sensitivity. |
Lifestyle Modifications | Diet, Exercise, Stress Management, Sleep Hygiene | Healthy eating habits, regular physical activity, stress reduction techniques, and adequate sleep can significantly impact blood sugar control, weight management, and overall well-being. |
Bariatric Surgery | Gastric Bypass, Sleeve Gastrectomy, Adjustable Gastric Banding | Surgical procedures that alter the digestive system to promote weight loss. Typically reserved for individuals with severe obesity who have not achieved success with other methods. |
Discuss these alternatives with your healthcare provider to determine the most appropriate treatment plan for your individual needs.
9. The Role of WHY.EDU.VN in Providing Information
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10. Semaglutide Safety: What Regulatory Agencies Say
Regulatory agencies such as the FDA (U.S. Food and Drug Administration) and the EMA (European Medicines Agency) closely monitor the safety and efficacy of medications like semaglutide. They rely on clinical trial data, post-market surveillance, and adverse event reports to assess the potential risks associated with these drugs.
While semaglutide has been approved for use in managing diabetes and promoting weight loss, regulatory agencies continue to evaluate the emerging data on its potential mental health effects. They provide guidance to healthcare professionals and patients on how to use semaglutide safely and effectively, including recommendations for monitoring mood and addressing any concerns that may arise.
Alt Text: Logos of the FDA (U.S. Food and Drug Administration) and EMA (European Medicines Agency), highlighting the regulatory oversight of semaglutide’s safety and efficacy.
11. Addressing the Stigma Surrounding Mental Health
It’s essential to address the stigma surrounding mental health and encourage open conversations about mood changes and emotional well-being. Mental health is an integral part of overall health, and seeking help for mental health concerns should be viewed as a sign of strength, not weakness.
If you are experiencing symptoms of depression or anxiety, know that you are not alone. Many resources are available to support your mental health, including therapy, counseling, support groups, and medication. Don’t hesitate to reach out to a healthcare professional or mental health specialist for assistance.
12. The Future of Research on Semaglutide and Mental Health
Research on the relationship between semaglutide and mental health is ongoing, and future studies will likely provide more insights into the underlying mechanisms and risk factors involved. Some potential areas of future research include:
- Large-scale, prospective studies to assess the incidence of depression and other mood changes in individuals taking semaglutide.
- Investigations into the effects of semaglutide on brain function and neurotransmitter activity.
- Studies examining the role of the gut microbiome in mediating the relationship between semaglutide and mood.
- Research identifying genetic and environmental factors that may increase susceptibility to mood changes while taking semaglutide.
- Clinical trials evaluating the effectiveness of interventions to prevent or treat depression in individuals taking semaglutide.
As research progresses, healthcare professionals will be better equipped to make informed decisions about the use of semaglutide and to provide appropriate support to patients who may experience mood changes.
13. Semaglutide for Weight Loss: Psychological Considerations
Semaglutide is increasingly prescribed for weight loss, especially in individuals with obesity or overweight conditions. This can bring significant psychological considerations, including:
- Body Image and Self-Esteem: Rapid weight loss can alter body image perceptions, potentially leading to body dysmorphia or self-esteem issues.
- Eating Disorder Risk: The appetite-suppressing effects of semaglutide may inadvertently trigger or exacerbate eating disorders in susceptible individuals.
- Emotional Eating: Some individuals use food as a coping mechanism for emotional distress. Semaglutide might disrupt this pattern, requiring alternative coping strategies.
- Social Impact: Changes in weight can affect social interactions and relationships, potentially leading to anxiety or depression related to social dynamics.
- Expectation Management: Unrealistic expectations about the speed or extent of weight loss can lead to disappointment and negative emotions.
Healthcare providers should integrate psychological assessments and support into semaglutide treatment plans for weight loss to address these potential issues.
14. Off-Label Use of Semaglutide and Mental Health
The off-label use of semaglutide, particularly for weight loss, raises additional concerns about mental health. Off-label use refers to prescribing a medication for a condition or in a way that is not approved by regulatory agencies.
In the context of semaglutide, off-label use may involve:
- Prescribing semaglutide to individuals who do not meet the diagnostic criteria for diabetes or obesity.
- Using higher doses of semaglutide than are typically recommended.
- Prolonged use of semaglutide beyond the recommended duration.
Off-label use of semaglutide may increase the risk of side effects, including mood changes, due to the lack of rigorous safety data in these populations. It’s essential to discuss the potential risks and benefits of off-label use with your doctor before considering this option.
15. Semaglutide and the Elderly: Special Considerations
When prescribing semaglutide to elderly individuals, special considerations are necessary due to age-related physiological changes and increased vulnerability to side effects.
- Cognitive Function: Elderly individuals may be more susceptible to cognitive side effects, such as confusion or memory problems, while taking semaglutide.
- Comorbidities: Elderly individuals often have multiple coexisting medical conditions, which can increase the risk of drug interactions and adverse events.
- Polypharmacy: Elderly individuals are more likely to be taking multiple medications, which can increase the risk of drug interactions and side effects.
- Renal and Hepatic Function: Age-related decline in kidney and liver function can affect the metabolism and excretion of semaglutide, potentially increasing the risk of side effects.
- Nutritional Status: Elderly individuals may have poor nutritional status, which can be exacerbated by the appetite-suppressing effects of semaglutide.
Healthcare providers should carefully assess the risks and benefits of semaglutide in elderly individuals and closely monitor them for any adverse effects.
16. Semaglutide and Pregnancy: What You Need to Know
The use of semaglutide during pregnancy is generally not recommended due to limited safety data. Semaglutide may potentially harm the developing fetus.
If you are pregnant or planning to become pregnant, it’s essential to discuss your diabetes or weight management options with your doctor. They can recommend alternative treatments that are safe for use during pregnancy.
17. Semaglutide and Breastfeeding: Is It Safe?
It’s not known whether semaglutide passes into breast milk or if it can harm a nursing infant. Therefore, the use of semaglutide while breastfeeding is generally not recommended.
If you are breastfeeding, discuss your diabetes or weight management options with your doctor. They can recommend alternative treatments that are safe for use while breastfeeding.
18. The Impact of Social Media on Semaglutide Perception
Social media has significantly influenced public perception of semaglutide, particularly for weight loss. While social media can provide valuable information and support, it can also contribute to misinformation, unrealistic expectations, and body image issues.
- Misinformation: Social media platforms may contain inaccurate or misleading information about semaglutide, its benefits, and its risks.
- Unrealistic Expectations: Social media can create unrealistic expectations about the speed and extent of weight loss with semaglutide.
- Body Image Issues: Exposure to idealized body images on social media can exacerbate body image issues and contribute to anxiety or depression.
- Peer Pressure: Social media can create peer pressure to use semaglutide for weight loss, even if it’s not medically necessary or appropriate.
It’s essential to critically evaluate information about semaglutide on social media and consult with a healthcare professional for accurate and personalized advice.
19. Expert Opinions on Semaglutide and Mood
Experts in endocrinology, psychiatry, and other relevant fields have expressed varying opinions on the potential link between semaglutide and mood.
- Some experts believe that the evidence supporting a causal relationship between semaglutide and depression is limited and that further research is needed.
- Other experts acknowledge the potential for semaglutide to affect mood in some individuals, particularly those with a history of mental health conditions.
- Most experts agree that healthcare providers should closely monitor patients taking semaglutide for any changes in mood or behavior and provide appropriate support and treatment if needed.
20. Semaglutide: Weighing the Benefits and Risks
The decision to take semaglutide involves carefully weighing the potential benefits and risks.
- Benefits: Semaglutide can effectively manage diabetes, promote weight loss, and reduce the risk of cardiovascular events in some individuals.
- Risks: Semaglutide can cause side effects, including nausea, vomiting, diarrhea, and potentially, mood changes.
The benefits and risks of semaglutide vary depending on the individual’s medical history, risk factors, and treatment goals. It’s essential to discuss these factors with your doctor to make an informed decision.
21. Semaglutide and Gut Health: The Microbiome Connection
Semaglutide’s effects on the gut microbiome are an area of ongoing research. The gut microbiome, the community of microorganisms living in the digestive tract, plays a vital role in overall health, including mental health.
Semaglutide can alter the composition and function of the gut microbiome, potentially affecting mood and behavior. Some studies have shown that GLP-1 receptor agonists can increase the abundance of beneficial bacteria and decrease the abundance of harmful bacteria in the gut.
The exact mechanisms by which semaglutide affects the gut microbiome and its impact on mental health are not fully understood. Further research is needed to clarify this complex relationship.
22. Lifestyle and Semaglutide: Enhancing Overall Well-being
While semaglutide can be an effective tool for managing diabetes and promoting weight loss, it’s essential to combine it with healthy lifestyle habits to enhance overall well-being.
- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean protein can support blood sugar control, weight management, and mental health.
- Regular Exercise: Physical activity can improve insulin sensitivity, promote weight loss, boost mood, and reduce stress.
- Stress Management: Stress can negatively impact blood sugar levels, weight, and mental health. Practicing stress management techniques, such as meditation or yoga, can be beneficial.
- Adequate Sleep: Sleep deprivation can disrupt hormone levels, increase appetite, and impair mood. Aim for 7-8 hours of quality sleep per night.
- Social Support: Connecting with loved ones and participating in social activities can provide emotional support and reduce feelings of isolation.
23. Semaglutide and the Placebo Effect: Psychological Impact
The placebo effect, a phenomenon where a person experiences a benefit from a treatment that has no inherent therapeutic value, can play a role in the response to semaglutide.
The psychological impact of taking semaglutide, including expectations of weight loss or improved health, can influence mood and well-being. The placebo effect can contribute to both positive and negative experiences while taking semaglutide.
It’s essential to be aware of the potential for the placebo effect and to consider it when evaluating the benefits and risks of semaglutide.
24. Alternative Therapies for Mental Health
If you are experiencing mood changes while taking semaglutide or for any other reason, several alternative therapies can help support your mental health.
- Cognitive Behavioral Therapy (CBT): CBT is a type of therapy that helps you identify and change negative thought patterns and behaviors.
- Mindfulness-Based Therapy: Mindfulness-based therapy involves focusing on the present moment and accepting your thoughts and feelings without judgment.
- Interpersonal Therapy (IPT): IPT focuses on improving your relationships and social interactions to enhance your mental health.
- Acupuncture: Acupuncture is a traditional Chinese medicine technique that involves inserting thin needles into specific points on the body to promote healing and well-being.
- Yoga: Yoga combines physical postures, breathing exercises, and meditation to promote relaxation and reduce stress.
These therapies can be used alone or in combination with other treatments, such as medication.
25. Staying Informed: Resources for Further Reading
To stay informed about semaglutide and mental health, consult these resources:
- Your Healthcare Provider: Your doctor or other healthcare provider is your best source of personalized advice and information.
- Reputable Medical Websites: Websites such as the Mayo Clinic, the National Institutes of Health (NIH), and the Centers for Disease Control and Prevention (CDC) provide reliable health information.
- Peer-Reviewed Medical Journals: Medical journals such as the New England Journal of Medicine, The Lancet, and JAMA publish the latest research findings.
- Patient Advocacy Groups: Organizations such as the American Diabetes Association and the Obesity Action Coalition provide support and resources for individuals with diabetes and obesity.
Alt Text: A collection of logos representing various resources for staying informed about health, including medical websites, journals, and patient advocacy groups.
26. The Importance of Open Communication with Healthcare Providers
Open communication with your healthcare providers is crucial for managing your health and well-being.
- Be honest and transparent about your symptoms, concerns, and medical history.
- Ask questions and seek clarification when you don’t understand something.
- Work collaboratively with your healthcare providers to develop a treatment plan that meets your individual needs.
- Follow your healthcare providers’ recommendations and attend follow-up appointments as scheduled.
27. Debunking Myths About Semaglutide
Many myths and misconceptions surround semaglutide. Here are some common myths debunked:
Myth | Reality |
---|---|
Semaglutide is a quick fix for weight loss. | Semaglutide is most effective when combined with a healthy diet and regular exercise. |
Semaglutide is only for people with diabetes. | Semaglutide is also approved for weight loss in individuals with obesity or overweight conditions, even without diabetes. |
Semaglutide is a dangerous drug. | Semaglutide is generally safe when used as prescribed and monitored by a healthcare provider. However, like all medications, it can cause side effects. |
Semaglutide is a cure for obesity. | Semaglutide is a treatment for obesity, not a cure. It can help manage weight, but long-term lifestyle changes are necessary to maintain weight loss. |
Semaglutide causes depression in everyone. | Not everyone who takes semaglutide will experience depression. The risk of depression is likely higher in individuals with a history of mental health conditions. |
28. Future Directions for Semaglutide Research
Future research on semaglutide is likely to focus on:
- Long-term safety and efficacy of semaglutide for diabetes and weight loss.
- The effects of semaglutide on cardiovascular outcomes.
- The mechanisms by which semaglutide affects brain function and mood.
- Strategies for preventing and treating side effects of semaglutide.
- The role of semaglutide in combination with other therapies.
29. Semaglutide Cost and Accessibility
The cost and accessibility of semaglutide can be a barrier to treatment for some individuals.
- Semaglutide can be expensive, and insurance coverage may vary.
- Some individuals may have difficulty accessing semaglutide due to supply shortages or restrictions on prescribing.
- Consider discussing cost-saving options with your doctor, such as patient assistance programs or generic alternatives.
30. Semaglutide: A Summary of Key Points
- Semaglutide is a GLP-1 receptor agonist used to treat type 2 diabetes and promote weight loss.
- Semaglutide may be associated with mood changes, including depression, in some individuals.
- The exact mechanisms by which semaglutide affects mood are not fully understood.
- If you experience mood changes while taking semaglutide, talk to your doctor.
- Combine semaglutide with healthy lifestyle habits to enhance overall well-being.
- Stay informed about semaglutide and mental health by consulting reputable resources.
Semaglutide has revolutionized the treatment of diabetes and obesity and is one of the most popular drugs prescribed for these diseases.
Alt Text: An infographic showing how semaglutide helps in treating diabetes and obesity by regulating blood sugar and promoting weight loss.
Conclusion:
While semaglutide offers significant benefits for managing diabetes and weight, its potential link to depression warrants attention. Individuals considering or currently taking semaglutide should be aware of the possible mood changes and communicate openly with their healthcare providers. More research is needed to fully understand the relationship, but in the meantime, a balanced approach that combines medication with lifestyle modifications and mental health support is crucial.
Navigating the complexities of health information can be challenging. At WHY.EDU.VN, we’re dedicated to providing you with clear, reliable, and expert-backed answers to your most pressing questions. Do you have more questions about semaglutide or other health concerns? Visit why.edu.vn today to ask your question and connect with our team of experts. Our address is 101 Curiosity Lane, Answer Town, CA 90210, United States. You can also reach us via Whatsapp at +1 (213) 555-0101.
FAQ about Semaglutide and Depression
- What is semaglutide, and what is it used for? Semaglutide is a medication that mimics a natural hormone in the body to help control blood sugar levels and suppress appetite. It is used primarily for treating type 2 diabetes and for weight loss.
- Why is there concern about semaglutide causing depression? Some reports suggest that semaglutide may lead to mood changes, including depression, in certain individuals. This concern is under investigation, as the exact cause-and-effect relationship is not yet fully understood.
- What are the symptoms of depression to watch for while taking semaglutide? Symptoms include persistent sadness, loss of interest in activities, changes in appetite or sleep, fatigue, feelings of worthlessness, difficulty concentrating, and thoughts of death or suicide.
- Should I stop taking semaglutide if I feel depressed? No, do not stop taking semaglutide abruptly without consulting your healthcare provider. They can assess your symptoms and determine the best course of action.
- What can I do if I experience mood changes while on semaglutide? Discuss your concerns with your doctor, who may adjust your dosage, switch you to a different medication, or recommend mental health support, such as therapy.
- Are there alternative medications if semaglutide affects my mood? Yes, there are alternative medications, including other GLP-1 receptor agonists, SGLT2 inhibitors, and DPP-4 inhibitors. Your doctor can help you find a suitable alternative.
- Is it more common for people with a history of mental health issues to experience depression on semaglutide? Individuals with a history of mental health conditions may be more susceptible to mood changes while taking semaglutide.
- What does the FDA say about the potential link between semaglutide and depression? Regulatory agencies such as the FDA are monitoring the safety of semaglutide but have not yet issued definitive warnings about a direct link to depression. Ongoing reviews are in place.
- Can lifestyle changes help mitigate any potential mood-related side effects of semaglutide? Yes, maintaining a healthy diet, exercising regularly, managing stress, and ensuring adequate sleep can positively impact mood and overall well-being.
- Where can I find reliable information about the latest research on semaglutide and its effects on mental health? You can find reliable information on medical websites, peer-reviewed medical journals, and through consultations with healthcare professionals.
References
- Dutta, S., et al. “Glucagon-like peptide-1 receptor agonists and depression: a review of the current evidence.” Diabetes, Obesity and Metabolism 22.1 (2020): 1-9.
- Sattar, N., et al. “Cardiovascular and metabolic effects of liraglutide in individuals with type 2 diabetes and chronic kidney disease: a prespecified secondary analysis of the LEADER randomised trial.” The Lancet Diabetes & Endocrinology 5.6 (2017): 390-398.
- European Medicines Agency (EMA). “EMA starts review of GLP-1 receptor agonists.” Published July 11, 2023. Accessed May 15, 2024.