Online-bought retatrutide, a hospital admission, and the limits of a single case

Online-bought retatrutide, a hospital admission, and the limits of a single case

A case report published on 26 August describes a man in his mid-30s with long-standing type 1 diabetes who was admitted to hospital with severe vomiting, diarrhoea, high blood sugar, ketones and acute kidney injury, shortly after self-administering a product he had bought online marketed as retatrutide. His partner took the same preparation and also … Read more

Retatrutide met its endpoints in two more Phase 3 trials, but not on cardiovascular events

Retatrutide met its endpoints in two more Phase 3 trials, but not on cardiovascular events

Eli Lilly reported on 23 July 2026 that retatrutide, an investigational triple hormone receptor agonist, met its primary endpoint in two further Phase 3 trials. Participants with obesity and type 2 diabetes lost up to an average of 20.8% of body weight over 80 weeks; those with severe obesity and established cardiovascular disease lost up … Read more

FDA approves Mounjaro to lower cardiovascular risk in type 2 diabetes

FDA approves Mounjaro to lower cardiovascular risk

The FDA has approved a new indication for Mounjaro (tirzepatide): lowering the risk of major adverse cardiovascular events — cardiovascular death, non-fatal heart attack, or non-fatal stroke — in adults with type 2 diabetes who are at high risk for them. Eli Lilly announced the approval on 28 August 2026. It is the first cardiovascular … Read more

Large cohort links GLP-1 drugs to more diabetic retinopathy, not to vision loss

GLP-1 drugs, diabetic retinopathy and what 98,082 pairs showed

A large propensity-matched cohort study published in Diabetes, Obesity and Metabolism on 27 August 2026 found that people who started a GLP-1 receptor agonist were modestly more likely to be diagnosed with diabetic retinopathy, and more likely to undergo a retinopathy procedure, than matched people who started a DPP-4 inhibitor instead. The same study found … Read more

Only 3 in 100 people on semaglutide hit the combined target in a 45,000-patient real-world study

Only 3 in 100 people on semaglutide hit the combined target in a 45,000-patient real-world study

Trial results describe what happens under close supervision with motivated volunteers. A study published in August in The Lancet Diabetes & Endocrinology asked a harder question: among 45,093 real patients with obesity and type 2 diabetes, how many actually hit a meaningful combined target a year after starting treatment? The answer for semaglutide was 3.0%. … Read more

A higher semaglutide dose reached 20.7% weight loss. It closes some of the gap to tirzepatide

A higher semaglutide dose reached 20.7% weight loss. It closes some of the gap to tirzepatide

The standard maintenance dose of Wegovy is 2.4 mg a week. STEP UP, a phase 3b randomised trial published in The Lancet Diabetes & Endocrinology, tested three times that — 7.2 mg — against both the standard dose and placebo over 72 weeks. Average weight loss was 20.7% on the high dose, 17.5% on 2.4 … Read more

Tirzepatide beat semaglutide head to head. The trial has two caveats worth knowing

Tirzepatide beat semaglutide head to head. The trial has two caveats worth knowing

The question people ask most often about these two drugs — which one works better — has a direct answer, and has had one since July 2025. In SURMOUNT-5, a trial that gave 751 adults either tirzepatide or semaglutide and followed them for 72 weeks, tirzepatide produced an average weight reduction of 20.2% against semaglutide’s … Read more