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ForumsCardiovascular OutcomesSELECT trial: 20% MACE reduction — looking for input Page 4

SELECT trial: 20% MACE reduction — looking for input

TinaHashiRN Sun, Jan 4, 2026 at 9:06 AM 29 replies 1,384 viewsPage 4 of 6
pete_RVA
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Jan 5, 2026 at 6:41 AM#16
james_edin said:
Dizziness and cardiovascular risk: I was lightheaded for the first 2 weeks.

Mine went the same way, slower.

13 13mike_mod, SarahChen_PharmD, sarah.morrison and 10 others
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paige_pharma
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Jan 5, 2026 at 8:45 AM#17

Adding the clinical framing, because it changes how the question reads.

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.
Last edited: Jan 5, 2026 at 9:45 AM
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NicoleRaleigh
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Jan 5, 2026 at 10:49 AM#18
paige_pharma said:
Mendelian randomization evidence supporting GLP-1 pathway modulation for cardiovascular risk: genetic variants in the GLP1R gene region associated…

This matches mine closely enough to be worth saying so out loud.

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mel_PDX
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Jan 5, 2026 at 12:53 PM#19
paige_pharma said:
Mendelian randomization evidence supporting GLP-1 pathway modulation for cardiovascular risk: genetic variants in the GLP1R gene region associated…

Adding the part of the answer the thread has not reached. The gap between trial results and real-world results is consistent and it is not fraud. Trial participants get titration by protocol, scheduled contact, free drug and dietetic support; removing that infrastructure costs a few percentage points every time it has been measured. When your own curve sits below the published mean, that is the likeliest explanation before anything about you or your material.

Last edited: Jan 5, 2026 at 6:53 PM
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mike_mod
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Jan 5, 2026 at 2:57 PM#20

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Tagging this one for the weekly digest.

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