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April 24, 2026The Lancet0 citations

Semaglutide, weight loss, and cardiovascular outcomes in the SELECT trial – Authors' reply

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JDJohn DeanfieldUniversity College LondonSEScott S. EmersonUniversity of WashingtonSRSøren RasmussenNovo Nordisk (Denmark)

Key Points

  • The aim is to evaluate the effects of semaglutide on weight loss and cardiovascular outcomes.
  • Conducted as a randomized trial
  • Focused on participants with obesity
  • Analyzed cardiovascular outcomes associated with weight loss interventions.
  • Semaglutide led to significant weight loss versus control; exact weight loss values not detailed.
  • Improved cardiovascular risk markers were observed in the semaglutide group.
  • Positive effects on health measures indicate potential for broader applications.

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“We were surprised that the cardiovascular benefit was not significantly different across the baseline level of BMI with patients who were only modestly overweight, achieving the same cardiovascular benefit as those with significant obesity. Furthermore, the cardiovascular benefit was not related to the amount of weight that patients lost while taking semaglutide during the study. This reframes GLP-1 receptor agonists as disease modifying agents rather than as 'weight loss jabs.'”

John Deanfield, Professor of Cardiology, University College LondonUniversity College Londonauto_pipelineSupportiveView source
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Cite This Study

Deanfield et al. (2026) studied this question.

synapsesocial.com/papers/69eb3592bd73c2fec3bb0c52https://doi.org/10.1016/s0140-6736(26)00706-3
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