The most common side effects of GLP-1 receptor agonists are gastrointestinal in nature. These include nausea, vomiting, diarrhea, constipation, bloating, and abdominal pain. These effects are often attributed to the slowing of gastric emptying caused by the medication.
This video explains how GLP-1 receptor agonists, such as Ozempic and Wegovy, work in the body for diabetes and weight loss. It details their mechanism of action, potential benefits including cardiovascular risk reduction, and discusses common and serious side effects. The video also touches on the financial cost, who might be a candidate for these drugs, the importance of lifestyle modifications, and the risk of weight regain after discontinuing use.
GLP-1 receptor agonists mimic the effects of the naturally occurring hormone GLP-1. This hormone is produced in response to food intake and has several key functions: it stimulates the pancreas to release insulin while inhibiting the release of glucagon, thereby lowering blood glucose levels. It also slows gastric emptying, which helps individuals feel full longer, and acts on the brain to reduce appetite. The drugs enhance these effects and have a significantly longer half-life than the natural hormone.
Some of the potential serious side effects of using GLP-1 receptor agonists, though relatively uncommon, include pancreatitis and gallbladder issues, such as gallstones. There was also an initial concern regarding an increased risk of thyroid cancer based on rodent studies, but this has not been demonstrated in humans. Additionally, significant weight loss achieved with these medications can lead to a loss of muscle mass along with fat, which is a serious consideration, especially for older patients.