Obesity: An Epidemic in the United States
Despite being the wealthiest country in the world, it is also the 18th most obese country in the world. Recent data show that 39% of Americans are currently obese. Obesity is one of the most common causes of chronic diseases.
Semaglutide and Tirzepatide recently gained much attention as popular weight loss medications to combat the obesity epidemic. They were initially approved for treatment of Type-2 diabetes and recently gained approval for the treatment of obesity. In order to understand these two medications - let’s first break down the science.
What is a GLP-1 Agonist?
Glucagon-like peptide-1 (GLP-1) agonists are a class of medications utilized in the treatment of type 2 diabetes and obesity. An agonist, means it acts similar to something. So, a GLP-1 agonist is a medication that mimics the effects of GLP-1.
GLP-1 is a peptide hormone produced in your intestinal epithelial cells and is responsible for two things - blood sugar regulation & appetite control. GLP-1 stimulates insulin production and release from the pancreas which improves glucose metabolism and leads to better blood glucose control. Simultaneously, it reduces the production of glucagon, a hormone that raises blood sugar levels.
GLP-1 also slows down gastric emptying and communicates to a part of your brain that is responsible for hunger suppression. Basically, it curbs your appetite.
How do GLP-1 Agonists help me lose weight?
GLP-1 agonists, such as Semaglutide and Tirzepatide, help you lose weight by increasing your metabolism and making you feel full - leading to eating less.
Semaglutide vs. Tirzepatide
Semaglutide and Tirzepatide are both great for kick starting your weight loss journey. Studies have shown Tirzepatide is a more effective medication due to its ability to mimic two different hormones - GLP-1 and GIP whereas Semaglutide only mimics GLP-1. Patient’s taking Semaglutide on average lost 16.9% of their total body weight while patient’s on Tirzepatide lost 22.5%.
In addition to its glucose-lowering effects, Semaglutide & Tirzepatide has been associated with substantial weight loss. This is a game-changer for individuals with type 2 diabetes and/or obesity.
Semaglutide has shown significant effectiveness in reducing blood sugar levels, treating type 2 diabetes and preventing complications of high blood sugar.
Studies suggest that semaglutide may have cardiovascular benefits, including reducing the risk of heart attacks, strokes, and other cardiovascular events. These potential benefits make it an attractive option for individuals with both diabetes and cardiovascular concerns.
Clinical Studies and Results
Clinical trials, such as the SUSTAIN and PIONEER trials, have demonstrated the efficacy and safety of semaglutide [2]. These studies have shown reductions in HbA1c levels (used to measure average blood sugar over a 3 month period), weight loss, and improved cardiovascular outcomes in participants receiving semaglutide compared to other standard diabetes medications.
Conclusion
Semaglutide and Tirzepatide have emerged as groundbreaking drugs in the management of obesity. Its dual action in improving blood sugar control and promoting weight loss sets it apart, offering a holistic approach to diabetes management. As ongoing research continues to uncover more about the potential benefits and long-term effects of semaglutide/tirzepatide, it holds promise for revolutionizing the way we approach the obesity epidemic that has taken over the country. These medications have improved the quality of life for millions of individuals worldwide.