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ForumsCardiovascular OutcomesSemaglutide cardiovascular benefit independent of weight loss — looking for input Page 4

Semaglutide cardiovascular benefit independent of weight loss — looking for input

Dr.PeteFamMed Mon, Apr 27, 2026 at 1:38 AM 21 replies 664 viewsPage 4 of 5
mike.trainer_LA
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Apr 28, 2026 at 3:06 PM#16
KevinCompounds said:
Continuous metabolic monitoring dashboard for cardiovascular risk — I track everything in a spreadsheet and here's the month-over-month trend for my…

This is my experience too, for whatever a second data point is worth.

Last edited: Apr 28, 2026 at 7:06 PM
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Dr.NateNeph
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Apr 28, 2026 at 6:04 PM#17

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

Whether anyone has held at a sub-maximal dose long term and kept the result, or whether the maintenance data only exists at 2.4mg?

Last edited: Apr 28, 2026 at 8:04 PM
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julia.endo
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Apr 28, 2026 at 9:02 PM#18
wendy_avl said:
CRP reduction on cardiovascular risk — this is the lab result that excites me most: Baseline hsCRP: 7.0 mg/L (high cardiovascular risk) Month 6 hsCRP:…

I will push back on the "any working dose is fine" framing. The maintenance evidence sits overwhelmingly at the top studied dose, and the extension data shows regain tracking dose reduction rather than tracking stopping. Holding low is reasonable; pretending it is evidentially equivalent is not.

Happy to go further on any of that.

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SteveThurs
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Apr 29, 2026 at 12:00 AM#19
wendy_avl said:
CRP reduction on cardiovascular risk — this is the lab result that excites me most: Baseline hsCRP: 7.0 mg/L (high cardiovascular risk) Month 6 hsCRP:…

Mendelian randomization evidence supporting GLP-1 pathway modulation for cardiovascular risk: genetic variants in the GLP1R gene region associated with lower BMI also show associations with reduced cardiovascular risk, confirming a causal pathway[1].

This "natural experiment" (people born with genetically higher GLP-1 signaling being leaner and healthier) provides orthogonal evidence supporting the pharmacological approach. When genetic epidemiology, clinical trials, and mechanistic studies all converge, confidence in the therapeutic approach is high.

References:
[1] Zheng SL, et al. Lancet Diabetes Endocrinol. 2023;11(12):869-879.
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Admin
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Apr 29, 2026 at 2:58 AM#20

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

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