26 economic studies on weight-loss drugs, and what ‘cost-effective’ leaves out

Typographic title card: review of 26 economic evaluations of weight-loss drugs

A systematic review has pulled together 26 economic evaluations of the approved weight-loss drugs, and the pattern it reports is worth knowing before anyone quotes “cost-effective” at you. Semaglutide came out ahead of liraglutide consistently enough that the authors call liraglutide generally not cost-effective. Tirzepatide bought the most health of any drug reviewed, and frequently … Read more

Fat inside the thigh muscle fell on semaglutide, in a 55-person MRI substudy

Typographic title card: semaglutide MRI substudy, thigh muscle fat infiltration

Semaglutide’s highest-dose weight-loss trial put a small group of its participants inside an MRI scanner, and the results speak to the question that trails every GLP-1 drug: what happens to muscle. Among 55 people drawn from the 1,407-person STEP UP trial, fat volume fell sharply over 72 weeks, thigh muscle volume fell by an amount … Read more

FDA warns Online Generic Medicine over unapproved injectable semaglutide

FDA warns Online Generic Medicine over unapproved injectable semaglutide

On 23 September 2026 the FDA’s Center for Drug Evaluation and Research issued a warning letter to the operator of www.onlinegenericmedicine.com, an internet pharmacy, after reviewing the site on 26 August and 2 September. The agency said the site offered U.S. consumers an injectable semaglutide product sold as “Semanat Injection (Semaglutide)”, which has no FDA … Read more

37 brain-imaging studies on GLP-1 drugs, and the one consistent finding

37 brain-imaging studies on GLP-1 drugs, and the one consistent finding

Researchers at the National Institute on Alcohol Abuse and Alcoholism have gone through every human brain-imaging study of GLP-1 drugs they could find – 37 of them – and report one reasonably consistent result: a single dose blunts the brain’s response to reward. Almost everything else is less settled than the popular account suggests. The … Read more

CagriSema beat semaglutide by 6.6 points across eight trials

CagriSema beat semaglutide by 6.6 points across eight trials

A combination of semaglutide and a second injected hormone analogue produced about 6.6 percentage points more weight loss than semaglutide on its own, according to a meta-analysis of eight randomised trials in 6,898 people published on 15 September. The combination, CagriSema, is not something a reader in the United States can fill a prescription for: … Read more

Route of administration outranked weight loss in an 800-person preference survey

Route of administration outranked weight loss in an 800-person preference survey

Asked to choose between hypothetical weight-loss drugs, 800 American adults ranked how a drug is taken above how much weight it takes off. In a discrete-choice survey published on 17 September, route of administration was the single most important attribute driving choice, ahead of average weight loss, cardiovascular risk reduction and the share of people … Read more

Spine-fusion complications didn’t rise on GLP-1 drugs across 28,525 patients

Spine-fusion complications didn't rise on GLP-1 drugs across 28,525 patients

If you take a GLP-1 drug and have spinal fusion surgery scheduled, the largest synthesis of the evidence so far found no sign that the drug makes the operation riskier. A systematic review and meta-analysis published on 17 September pooled seven studies covering 28,525 adults who underwent lumbar fusion, and found no statistically significant difference … Read more

Only 3 in 10 adults were still taking a GLP-1 drug consistently after a year

Only 3 in 10 adults were still taking a GLP-1 drug consistently after a year

Fewer than a third of commercially insured US adults who started a GLP-1 drug for obesity were still taking it consistently a year later, an analysis of 201,229 claims records has found. About 64% fell into one of three discontinuation patterns: stopping almost immediately, stopping within a few months, or tailing off later in the … Read more