Latest / Peptides Weekly / Ep 2: Nearly one in six children taking GLP-1 drugs show nutritional deficiencies in a new study.
Transcript
- 0:00Nearly one in six children taking glp-1 drugs show nutritional deficiencies in a new study. This
- 0:06is Peptides Weekly, episode two, education and evidence, never-dosing advice. An observational
- 0:13analysis of insurance claims data linked glp-1 receptor agonists to documented nutritional
- 0:19deficiencies in nearly one in six children. The study examined real-world prescribing records
- 0:25rather than a controlled trial. Researchers tracked field prescriptions and subsequent laboratory
- 0:30results for vitamin and mineral shortfalls. No causal mechanism was established in the data set.
- 0:37The analysis covered multiple GLP-1 agents used for type-2 diabetes or weight management.
- 0:43Claims databases capture routine care but miss unrequited supplements or dietary changes.
- 0:49A Yale review of online platforms found multiple sites supplying GLP-1 medicines
- 0:54after only a questionnaire and without an in-person or video visit by a licensed clinician.
- 1:00The study documented the absence of required medical evaluation in the sales process.
- 1:06Researchers classified the model as direct-to-consumer access that bypasses standard oversight.
- 1:12Platforms required self-reported height, weight, and medical history but did not verify details with a prescriber.
- 1:19The review covered several high traffic sites operating in the United States.
- 1:23reports. No regulatory action was described in the report. Swedish Pharmacovigilans records
- 1:29show an increase in adverse reaction reports tied to semi-glutide in the most recent reporting
- 1:35period. The data come from the National Spontaneous Reporting System and do not include confirmed
- 1:41causality assessments. Reports included gastrointestinal events and other side effects already known
- 1:47from clinical trials. The National Agency collects voluntary submissions from health care professionals
- 1:52and patients. An investigative feature examined unregulated peptide products sold for recovery
- 1:58and performance. The reporting contrasted marketing claims with documented cases of contamination
- 2:04and adverse effects in users. No controlled human trials supported the promoted benefits for
- 2:10the products discussed. The article described products labeled for research use only that reached
- 2:16consumers through online vendors. Laboratory testing cited in the piece revealed inconsistent purity
- 2:22across batches. Cyclists and other athletes were among the users interviewed for the story.
- 2:28A laboratory study in cell and animal models identified IGF-2BP3 as a regulator that stabilizes
- 2:36NPY-1R messenger RNA and shifts macrophages toward an M1 phenotype linked to aneurysm rupture.
- 2:45The work used molecular assays and rodent aneurysm models. Human data were not reported.
- 2:50Researcher's measured changes in M6A modification on the NPY-1R transcript after IGF-2BP-3 knockdown.
- 3:00Macrophage polarization was assessed by surface markers and cytokine profiles.
- 3:06The pathway was tested in both in vitro cultures and in vivo aneurysm induction.
- 3:11This week's spotlight looks at semi-glutide and the broader GLP-1 receptor agonist class.
- 3:17Cemaglutide is a long-acting analogue of the gut hormone GLP1.
- 3:22It binds the GLP1 receptor on pancreatic beta cells to increase glucose-dependent insulin
- 3:28release and on alpha cells to suppress glucagon.
- 3:32The same receptor activation in the brain reduces appetite and slows gastric emptying.
- 3:38In the sustained 6-trial, 3,297 adults with type 2 diabetes at high cardiovascular risk
- 3:45received once-weekly subcutaneous semaglutide or placebo for 104 weeks.
- 3:51That result confirmed non-inferiority and suggested superiority.
- 3:56In the select trial, 17,604 adults with overweight or obesity but without diabetes
- 4:03received 2.4 mg weekly semaglutide or placebo for a mean 39.8 months.
- 4:10The same composite endpoint occurred in 6.5% versus 8.0%.
- 4:16That established a cardiovascular benefit in this population.
- 4:20The Pioneer program tested oral semi-glutide in more than 8,000 adults across eight phase
- 4:26three trials lasting up to 78 weeks.
- 4:30Doses of 7 mg and 14 mg once daily lowered HBA1C and body weight more than placebo.
- 4:38Citigliptin, Ampagliflosen, Lyraglutide, and Dulaglutide.
- 4:44Gastrointestinal events were the most frequent side effects and were usually transient.
- 4:49A post-hoc analysis of a 32-week randomized trial found that Semaglutide increased the
- 4:55reactive hyperimic index from baseline, but the change did not reach significance versus
- 5:00placebo.
- 5:01E-selectin fell significantly versus placebo, while other cell adhesion markers showed mixed
- 5:07responses. Cost effectiveness modeling using Sermount 5 head-to-head data estimated that maximum
- 5:14tolerated tears epitide produced lower total costs and higher quality adjusted lyphiers than
- 5:20maximum tolerated semi-glutide in adults with obesity or overweight without diabetes.
- 5:26Worth knowing that an observational analysis of insurance claims shows nutritional deficiencies
- 5:31appear in nearly one in six children prescribed GLP1 receptor agonists.
- 5:37That indicates a need for laboratory monitoring in this age group.
- 5:41Spontaneous reporting data from Sweden record a recent increase in adverse event filings
- 5:46for semi-glutide.
- 5:48That underscores the value of ongoing pharmacovigilance for approved GLP1 medicines.
- 5:54Laboratory work on IGF2BP3 and aneurysm rupture illustrates how basic peptide signaling research
- 6:01can identify new molecular targets. Those findings remain at the cell and animal stage.
- 6:07That's peptides weekly. This show is education, not medical advice.
- 6:12Talk to your own clinician before acting on anything you heard.
- 6:15I'm Patrick in Vancouver. See you next week.
- 6:18Quick tip from the network. Try omnivue central and South America next.
- 6:23The day across central and South America from Mexico to the southern cone.
- 6:27Every Narra Network show is free at NarraNetwork.com. The age of AI puts real
- 6:34builders on the phone with an AI host. Apply at NarraNetwork.com, age of AI
- 6:40apply. This episode used AI voice synthesis of my voice. Editorial selection and
- 6:46analysis are my own.