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The science of safety: adverse effects of GLP-1 receptor agonists as glucose-lowering and obesity medications - PubMed

7 days ago
  • #GLP-1 receptor agonists
  • #Diabetes treatment
  • #Obesity medication
  • GLP-1 receptor agonists (GLP-1RAs) have revolutionized treatment for type 2 diabetes (T2D) and obesity, offering cardiovascular and renal benefits.
  • Despite their benefits, GLP-1RAs are associated with adverse effects impacting safety and tolerability.
  • Long-term clinical trials have dismissed concerns about GLP-1RAs increasing risks for acute pancreatitis and pancreatic cancer.
  • GLP-1RAs may elevate the risk for thyroid cancer.
  • Rapid glycemia reduction from GLP-1RAs can cause sight-threatening eye complications, preventable with pre-treatment retinal screening and ophthalmologic care.
  • GLP-1RAs slow gastric emptying, increasing risks of retained gastric contents and aspiration during procedures like endoscopy or anesthesia.
  • Individuals with long-standing T2D may face elevated risks even without GLP-1RA treatment.
  • Enhanced pharmacovigilance and standardized adverse event assessments in trials are needed to better define benefit-risk profiles for GLP-1RAs.