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ForumsCardiovascular OutcomesNNT for MACE prevention — semaglutide vs statin vs SGLT2i comparison Page 4

NNT for MACE prevention — semaglutide vs statin vs SGLT2i comparison

BiostatsBrad Tue, May 19, 2026 at 12:55 AM 26 replies 690 viewsPage 4 of 6
DebRD_ATL
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May 21, 2026 at 11:19 PM#16
Dr.NutriCornell said:
BiostatsBrad said: ...but the FDA says semaglutide...

Agreed, with the qualification that SELECT enrolled a secondary-prevention population. Extrapolating a 20% relative reduction to a healthy 35-year-old with a BMI of 31 is not what that trial showed.

42 17BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 39 others
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Dr.AddMedPHL
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May 22, 2026 at 9:15 AM#17

The figures, for anyone assembling their own picture. Practical: whatever you change, write down the date and the reason. In three months the reason is what you will have forgotten, and the reason is what makes the record worth having.

41 16sarah_nash92, FitDadDave, RunnerRach and 38 others
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pam_columbus
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May 22, 2026 at 7:10 PM#18

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

How much of the SELECT benefit is plausibly independent of the weight loss, and whether that distinction changes anything practical?

Last edited: May 23, 2026 at 1:10 AM
40 15Dr.LipidDallas, alex_tucson, kevin_tulsa and 37 others
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HealthEcon_DC
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May 23, 2026 at 5:06 AM#19
Dr.AddMedPHL said:
Practical: whatever you change, write down the date and the reason.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. The "earlier than weight loss explains" argument is weaker than this thread makes it sound. Blood pressure and inflammatory markers move fast and are downstream of early weight loss, so the mechanism is not as cleanly separable as the summaries imply.

39 14TirzTom, TrialTracker_MD, JennaRN and 36 others
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Admin
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May 23, 2026 at 3:01 PM#20

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. Carry on.

17 17PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 14 others
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