Ozempic’s great challenge is the rebound effect. Science already has two promising solutions to avoid it

The rise of medications such as Ozempic, wegovy o Mounjaru has completely transformed the clinical and social landscape of the weight lossmaking many people do not hesitate to ask their family doctor to prescribe it in order to lose weight and also regulate blood sugar. The results during treatment are undeniable, but the big question it raises about medical consultations is what exactly happens when the medication is stopped. What we know. One of the most feared points of this type of treatment is the ‘rebound effect’ which causes that, at the time of stopping the treatment and if eating habits have not been adjusted, a large weight gain will be seen. This is something that causes many people to see that this treatment only gives a few months of ‘thinness’, but science is now trying to avoid this effect. The rebound. An exhaustive analysis published in The BMJ finally put exact figures on this phenomenon so that you can speak appropriately to patients. And what has been seen after analyzing 9,300 participants is that patients recover an average of 0.4 kilos per month after stopping treatment. At this rate, the return to the initial weight before starting therapy occurs in just 1.7 years. But this is also accompanied by a loss of cardiovascular shield at 1.4 years. The solution. one of them it involves taking a pill daily known as orforglipronwhich is nothing more than a non-peptide GLP-1 receptor agonistwhich means that it can be taken orally and not through subcutaneous injections. The idea here is to use the injectable treatment, which is more powerful, for the first few weeks and then transition to this daily pill to consolidate the results without the rebound effect. This not only greatly improves patient comfort, but facilitates mass production by not relying on problematic ‘pens’ containing semaglutide, and helps maintain satiety signaling at the brain level without the invasive impact of the needle. A bacteria. The second line of research points to the intestinal microbiome, by analyzing supplementation with the bacteria Akkermansia muciniphila MucT pasteurized as a tool to avoid the rebound effect after a low-calorie diet. A bacteria that is long known in the field of nutrition for its role in the integrity of the intestinal barrier. After doing the analysisit was seen that the group of patients who received the bacterial supplement recorded a weight recovery of only 13.6%, compared to 32.9% in the control group. But beyond the scale, it has been seen that this bacteria shows a notable preservation of insulin sensitivity, a crucial factor to avoid the development of type 2 diabetes and keep lipid metabolism under control. The future. We are undoubtedly at the beginning of a paradigm shift, since the medical narrative is moving from the short-term “war against kilos” to chronic and sustainable management. But logically, for this to reach the market, we must wait (and not a little) for better results and above all for it to be tested in humans. Images | stefamerpik in Magnific In Xataka | We thought Ozempic was only for weight loss. Science is seeing that it can end alcoholism

We have just found new tests of Ozempic’s benefits in another field: dementia

Although drugs pass exhaustive controls dedicated to, among other things, detect side effects, their clinical use allows us to find out new details about their effects on the body. This includes associated risks, but also possible additional benefits we did not count on. Lower risk of dementia. Drugs destined to keep blood sugar levels under control in people with diabetes (such as Ozempic or Zepbound) They can have a positive effectreducing our risk of dementia. Several studies have deepened in this relationship, offering hopeful results in this regard. Diabetes and dementia. Diabetes is one of the Risk factors that we usually associate with the appearance of dementia, such as age, tobacco, certain genetic factors or cholesterol, among others. Diabetes It is also a risk factor in arterosclerosis and stroke or stroke, which are factors that also contribute to certain forms of dementia. Knowing this, it can be intuitive to think that drugs that help us keep diabetes at bay can have this type of effects. However, intuition is not enough, so several research groups take time to work to better understand the underlying interactions and be able to strengthen our knowledge about the issue. Two studies. A few weeks ago, the magazine Jama Neurology He published two independent studies on each other who tried to investigate this issue. Both focused on how drugs aimed at reducing the amount of blood sugar were associated with a lower risk of dementia and cognitive problems among people with type 2 diabetes. Reviewing the evidence. One of the studies It was based on the systematic review of scientific literature related to the subject, review accompanied by a meta -analysis, a quantitative study of the results compiled through the review. This analysis was carried out from 26 randomized essays among which were added about 165,000 participants. The team responsible for the study did not find a significant change in the risk of dementia when studying the set of treatments focused on glucose reduction. But he did find that agonists of the peptide receptors similar to type 1 glucagon (LPG-1), the family of compounds to which the semaglutida belongs and therefore Ozempic, were related to a risk of suffering from 45% lower. One more essay. The second of the studies mentioned focused on two drugs, the agonostas of the GLP-1 receptors (LPG-1st) and the sodium/glucose collection inhibitors 2 (SGLT2is). The team observed that both the LPG-1ras and the SGLT2is were linked to a lower risk of suffering some forms of dementia such as Alzheimer’s in contrast to other treatments destined for glycemic control. A key factor. Studying the link between diabetes and dementia can open the way to better understand a disorder as complex as dementia. There is still little that we know about cognitive deterioration associated with age and disorders such as Alzheimer’s, but in increasingly aging societies, finding ways to reduce their weight in the well -being of older people will become unavoidable. In Xataka | Ozempic is supposed to increase the risk of erectile dysfunction. Thousands of people think exactly the opposite Image | Chemist4u / Steven Hwg

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