The FDA originally approved GLP-1 medicines in 2005 to help people with type 2 diabetes manage their symptoms. In 2014, the first GLP-1s were approved for weight management. Since then, researchers have found the medicine may have more far-reaching benefits, like improving kidney and liver function.
You may be wondering whether this treatment is right for you. To help you decide, we’ve written this article reviewing the potential benefits of GLP-1 drugs and how they impact your health.
What’s GLP-1, and what role does it play?
Glucagon-like peptide-1 (GLP-1) is a hormone that bodies naturally produce. It helps manage insulin production, glucagon production, and gastric emptying. Here’s how:
- Insulin production: GLP-1 helps the pancreas release insulin to lower blood sugar after eating. When your body doesn’t make enough insulin or can’t use it properly, your blood sugar remains elevated. According to the National Health Service, high blood sugar (hyperglycaemia) can cause permanent nerve damage and vision problems. GLP-1 combats this by stimulating insulin release and slowing digestion, keeping blood sugar levels in check.
- Glucagon production: GLP-1 also limits glucagon release. Glucagon raises blood sugar when levels run low, like between meals or after exercise. People with type 2 diabetes might make more glucagon than their bodies need, keeping blood sugar levels too high. By reducing this release, GLP-1 puts blood sugar levels in a steadier, healthier range.
- Gastric emptying: GLP-1 plays a role in slowing down digestion. When food stays in your system longer, you’ll stay full longer.
GLP-1 medications: How do GLP-1 RAs work?
GLP-1 receptor agonists (GLP-1 RAs) are usually injected, though oral GLP-1 RA pills are becoming more common. Once administered, GLP-1 RAs enter the bloodstream and bind to GLP-1 receptors—the docking sites on cells that recognize and respond to GLP-1. They then mimic the effects of natural GLP-1.
Currently, doctors prescribe these medications for a few reasons:
- Weight loss: The FDA approved the following GLP-1 RAs for obesity care: semaglutide, tirzepatide, and high-dose liraglutide.
- Diabetes management: There are several options available for type-2 diabetes care. None are currently approved for managing type-1 diabetes. Research is ongoing, though.
- Heart and liver conditions: Wegovy® is FDA approved for reducing risk of recurrent heart attack and stroke as well as fatty liver disease.
- Sleep apnea: Zepbound® is FDA approved for moderate-to-severe obstructive sleep apnea.
Many people find these medications effective, but everyone’s body is different. That’s why your physician will build your care plan around you. This may include gradually increasing your dosage (titration) to help you adjust to treatment.
GLP-1 benefits for weight management
These medications can offer a helping hand in your weight-loss journey. An analysis of dozens of trials shows that, on average, women lose 11% of their starting weight, depending on which medication they use.
How GLP-1s drive weight loss
GLP-1 RAs reduce appetite signals and thoughts about food, also called “food noise.” Many people report fewer cravings throughout the day, and slower gastric emptying makes them feel full longer. Together, these effects mean you’re less likely to snack throughout the day, reducing your calorie intake.
While some people notice weight loss in as soon as a few months, others (known as non-responders) see little or no change. And weight loss doesn’t necessarily mean fat loss. Some studies have shown that GLP-1s can lead to muscle mass loss. So physicians focus on weight loss quality, not just numbers on the scale. GLP-1 medication isn’t a miracle cure—approach it with realistic expectations.
Proven metabolic and cardiometabolic GLP-1 benefits
GLP-1 RAs affect other parts of your body, too. Below are more benefits you might experience beyond weight loss.
More regulated blood sugar
After eating, your blood sugar temporarily spikes, which can make you feel thirsty, tired, and stressed. Certain foods raise your blood sugar faster than others, like sugary drinks and white bread. Insulin will level it out, but the process takes a few minutes. For people with diabetes, this reaction is even slower.
GLP-1 RAs regulate this by supporting insulin release. Over time, this consistency evens out your typical blood sugar levels, lowering the risk of diabetes and other blood sugar-related conditions. Doctors measure blood sugar averages using a test called hemoglobin A1c (HbA1c), and studies show GLP-1RAs significantly improve HbA1c levels.
Lower lipid and fat levels
Lipids are fatty compounds that handle body functions like energy storage and fat digestion. But excess lipids can clog arteries, increasing the risk of heart attack and stroke. GLP-1s regulate lipids, lowering cholesterol and triglyceride levels.
Research also shows promising improvements in the liver. Too much fat causes complications like cirrhosis and cancer, and GLP-1s help with this, too.
Improved cardiovascular system and kidney functioning
Studies show that certain GLP-1 RA therapies could reduce major adverse cardiovascular events (MACE) like heart attacks and strokes, particularly in higher-risk populations.
Researchers have also studied how semaglutide affects people with type 2 diabetes and chronic kidney disease. One meta-analysis states this medication could lower their risk of major kidney complications by around 24%. And some evidence indicates that GLP-1 RAs may help protect overall kidney health, but research is still ongoing.
GLP-1 RAs’ health benefits: Ongoing studies
Beyond weight loss, research suggests GLP-1 RAs could help:
- Lower the risk of developing or worsening substance disorders
- Slow down the effects of Parkinson’s and Alzheimer’s
- Improve heart health and kidney function
While these are exciting possibilities, researchers need to conduct more studies before recommending GLP-1s for these conditions.
Deciding if GLP-1s are right for you
If you’re considering GLP-1 RAs, consider the following side effects and eligibility criteria.
Common side effects
GLP-1 RAs are generally considered safe and effective. But you may experience side effects, including:
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Abdominal pain
- Fatigue
- Acid reflux
- Heartburn
Lower doses, smaller and more frequent meals, hydration, and fiber can help with these side effects, but they’re not a cure-all. If symptoms persist despite these changes, please reach out to your physician.
Who may qualify
In the U.S., GLP-1 RAs are approved for:
- Adults with a BMI of 30 or higher
- Those with a BMI of 27 and at least one weight-related condition, such as high blood pressure or obstructive sleep apnea
- People with an approved condition, such as type 2 diabetes or a serious heart problem
Exploring GLP-1 benefits with Maven Clinic
Most GLP-1 programs end at prescription, but Maven Clinic integrates GLP-1 treatment into your broader plan. From evidence-based nutrition guidance to proactive side effect management, we offer support throughout your whole journey, no matter what life stage you’re navigating.
To learn more about how Maven Clinic assists women and families, don’t hesitate to reach out to our team or browse our approach to holistic care.
FAQ
What does GLP-1 really do to your body?
GLP-1 helps keep blood sugar levels and appetite in check. Importantly, it stimulates insulin release when blood sugar is high and suppresses glucagon, a hormone that raises blood sugar.
Are there benefits to microdosing GLP-1 RAs?
Microdosing means taking below-therapeutic doses. For GLP-1 medications, this often involves compounded products, which are custom versions prepared by pharmacies.
Many see microdosing as a way to save money, but this strategy isn’t necessarily an effective treatment. Compounded GLP-1 products aren’t FDA-approved and may have safety risks, including contamination and accidental overdosing. Microdosing may not offer the same outcomes as FDA-approved GLP-1 RAs.
Why does GLP-1 make me feel so good?
There are a few possible reasons. GLP-1 RAs can stabilize blood sugar levels, supporting steady energy throughout the day. They also reduce food cravings’ frequency and intensity, changing your relationship with food and your body.
Are GLP-1 agonists weight-loss peptides?
Yes, technically. Peptides are short chains of amino acids that act as signals in the body, telling it what to do. Weight-loss peptides are medications that support weight loss. GLP-1 RAs fall into this category, but the term “weight-loss peptides” itself is rarely used.
How long does it take to lose 20 pounds on GLP-1?
There’s no set timeline. Multiple factors can affect outcomes, including your starting weight, lifestyle, and genetics. Some people experience meaningful weight loss within a few months. Others experience little to no weight loss.
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