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ForumsCardiovascular OutcomesHeart rate increase on GLP-1 — 6 month update

Heart rate increase on GLP-1 — 6 month update

FDA_TrackerJim Wed, Mar 26, 2025 at 3:23 PM 12 replies 1,604 viewsPage 1 of 3
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FDA_TrackerJim
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Mar 26, 2025 at 3:23 PM#1

My reason for being on this is cardiovascular rather than cosmetic, which puts me in a small minority in most of these threads.

What I am after is how much of the SELECT benefit is plausibly independent of the weight loss, and whether that distinction changes anything practical.

Not looking for reassurance. Looking for the part I have got wrong.

19 22Dr.Martinez, mike_mod, SarahChen_PharmD and 16 others
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PeptideChemSF
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Mar 26, 2025 at 3:39 PM#2
FDA_TrackerJim said:
My reason for being on this is cardiovascular rather than cosmetic, which puts me in a small minority in most of these threads.

Continuous metabolic monitoring dashboard for cardiovascular risk — I track everything in a spreadsheet and here's the month-over-month trend for my key markers:

Weight: consistent downtrend, -1.5 lbs/week average
Fasting glucose (finger stick): stable at 88 mg/dL
Blood pressure (home): 115/74 average
Resting heart rate: 68 bpm (down from 84)
Waist circumference: down 18 inches total

The resting heart rate improvement correlates with cardiovascular fitness gains. Everything is moving in the right direction.

Last edited: Mar 26, 2025 at 7:39 PM
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KetoKyle
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Mar 26, 2025 at 3:55 PM#3
PeptideChemSF said:
Continuous metabolic monitoring dashboard for cardiovascular risk — I track everything in a spreadsheet and here's the month-over-month trend for my…

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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pam_stl
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Mar 26, 2025 at 4:11 PM#4
FDA_TrackerJim said:
My reason for being on this is cardiovascular rather than cosmetic, which puts me in a small minority in most of these threads.

Same experience, arrived at from the opposite direction.

Last edited: Mar 26, 2025 at 9:11 PM
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anders_CPH
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Mar 26, 2025 at 5:37 PM#5

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

Senior perspective on cardiovascular risk: I'm 68 years old and started this journey skeptically. My internist recommended it after years of failed interventions.

12 months later: down 41 lbs, more mobile, pain reduced, medications simplified. My quality of life has improved dramatically. I wish this existed 20 years ago.

To other older adults hesitating: the SELECT trial proved benefit in our age group. You deserve to feel good in your body regardless of age.

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