
Weight loss of 15pc recorded in new obesity drug trials, involving UCD professor
'The REDEFINE 2 study showed that CagriSema, a new treatment in development for the disease of obesity, can allow patients with type 2 diabetes lose 15pc body weight, while putting their blood sugar levels back in the normal range,' said Professor Carel LeRoux, a leading weight-loss researcher at the UCD Conway Institute, and a principal investigator on the study.
'What patients often tell us is that they again can do all the things they want because they feel so much more functional,' said Prof Le Roux.
'We also see that the side effects are manageable and clinicians are getting much better at reducing common side effects.
'Taken together, this will allow clinicians to control the disease of obesity, which will allow us to disrupt the disease of type 2 diabetes.'
CarigSema is a combination of Cagrilintide and Semaglutide. The latter is marketed under the brands of Ozempic, Wegovy and Rybelsus.
CarigSema is seen as a potential follow-on treatment for people already being treated for obesity, and type 2 diabetes, or both, with Ozempic and Wegovy or Mounjaro – a drug that slows down the rate at which food leaves the stomach.
CarigSema is a combination of Semaglutide, a so-called GLP-1 analogue that is better known as Ozempic, and Cagrilintide is an analogue of Amylin.
An analogue in chemistry is the name for something that is similar, but not identical to something else, and often mimics its action inside the body.
The GLP-1 analogues, which include Ozempic and Wegovy, act by imitating incretin, a natural hormone that decreases blood sugars and reduces appetite.
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Meanwhile, Cagrilintide, is an analogue of Amylin, another natural hormone in the body and one which promotes satiety - the feeling of being full after eating.
'In a phase three clinical trial, participants with type 2 diabetes and obesity experienced unprecedented weight loss,' said Prof Le Roux, who said that the CarigSema trial 'marks a turning point' in weight and diabetes management.
'Many participants expressed joy in regaining abilities that their condition had previously hindered – playing with grandchildren, tying shoelaces and performing daily activities became accessible once more.'
The treatment, said Prof Le Roux, involves a weekly injection, which enables patients to manage their disease, and also accommodate healthier lifestyles.
The REDEFINE trial results offer a 'beacon of hope' for people living with type 2 diabetes and obesity, he said, with results that promise to promote not just weight loss, but to enhance people's quality of life and well-being.
'Patients can look forward to a future where managing diabetes can lead to healthier lifestyles and renewed vitality,' said Prof Le Roux.
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The Irish Sun
a day ago
- The Irish Sun
Mounjaro users discover ‘very easy' mistake that's stopping them from losing weight – as experts reveal simple fix
THEY have taken the nation's waistlines by storm, helping thousands shed pounds and trim inches. So-called fat jabs have been dubbed a "miracle" - helping turn the tide on the obesity epidemic. But, users of one jab - dubbed Advertisement 2 Some Mounjaro users have reported they are failing to shed the pounds Credit: Alamy 2 Extreme calorie cutting while on weight loss injections can cause the body to go into 'emergency conservation' mode, experts say Credit: PA Annabelle Welch, an aesthetics practitioner in Sevenoaks, Kent, said she has witnessed clients on Mounjaro stop losing weight - and suspects it is because they are eating too little . Annabelle said, in a shared to TikTo k: "If you're not fuelling your body with enough calories day to day your metabolic rate will drop, and your body will begin conserving fat rather than burning it." The clip, which at the time of publishing has been viewed by over 400,000 people, attracted hundreds of comments from social media users, some of whom also claim to have stopped losing weight on the drugs. Advertisement One commenter, who admitted to eating just one meal a day, wrote: "I've been on it for six weeks and I've lost no weight." It is prescribed mainly for people with Though Annabelle isn't a prescriber, her experience reflects what some experts are now warning about. They say that extreme calorie cutting while on weight loss injections can cause the body to go into 'emergency conservation' mode. Advertisement Dr David Huang, director of clinical innovation at weight loss service "It also makes the weight loss very unsustainable in the long term, and there can be a bounce-back effect when patients re-feed.' GP-approved tips to really lose weight safely - and keep it off This means if you eat too little for too long, your body will slow down the number of calories it burns, holding onto fat to conserve energy - which can stop weight loss. It means that when you start eating normally again, the weight can pile back on quickly. "The purpose of the jabs is to lose weight healthily and sustainably," Dr David says. Advertisement WHO IS ELIGIBLE FOR WEIGHT LOSS JABS ON THE NHS? NHS eligibility for weight loss injections has expanded but still lags behind the number who could potentially benefit from taking them. Wegovy, medical name semaglutide, is only available for weight loss through specialist weight management clinics. Patients are typically expected to have tried other weight loss methods before getting a prescription. They may be eligible if their body mass index (BMI) is higher than 30, or higher than 27 if they have a weight-related health condition such as high blood pressure. Mounjaro, known as tirzepatide, is also available from GP practices but currently only to patients with a BMI of 40 or higher (or 37.5 if from a minority ethnic background) plus four weight-related health conditions. The medicines are currently being rationed to the patients most in need. NHS watchdog NICE estimates that more than three million Brits will ultimately be eligible. The GLP-1 injections are prescribed separately by GPs for people with type 2 diabetes, and patients should discuss this with their doctor. "The goal is not starvation, which can have negative effects on brain, bone, muscles and long-term health. "These meds help suppress appetite, but also seem to reconfigure the brain to avoid unhealthy habits and prioritise better foods." Clinical Pharmacist Kiran Jones of Restrictive diets can worsen side effects SO what's the goal? Dr David recommends calculating daily calorie needs using a BMR calculator, then reducing that number by 600 to 800 calories. This method uses your weight, height, and gender to set a moderate calorie deficit, helping you lose weight safely without triggering your body's emergency conservation mode. Advertisement But rather than focus solely on calories, he urges patients to prioritise nutritional intake, especially: Protein: at least 1.2g per kilo of body weight Micronutrients such as Vitamin D, B12, Folate, and Calcium Guidance from This is in line with NHS weight loss advice. It says: "There's no single rule that applies to everyone, but to lose weight at a safe and sustainable rate of 0.5 to 1kg a week, most people are advised to reduce their energy intake by 600 calories a day." But pharmacist Kiran does not recommend calorie counting while on the jabs. Advertisement 'We advise patients to eat three meals a day plus a healthy snack or two, with a focus on lean protein, wholegrains, fruit and vegetables, ideally in a rainbow of colours. "We're not big fans of calorie-counting. It often becomes a chore and doesn't reflect the quality of food on someone's plate. But for people who want a starting point, we suggest reducing daily intake by around 500 calories compared to what they were eating pre-treatment, and only tracking this for the first few weeks." ZAVA warn that overly restrictive diets can worsen side effects, such as bloating and indigestion, and stall results. Instead, people on the jab are encouraged to eat nutrient-dense meals, avoid spicy or fizzy foods that can irritate the stomach, and consider adding probiotics like yoghurt or kefir to support digestion. Other simple habits, like taking a 10-minute walk after meals and staying well-hydrated, can also help Mounjaro users get better results from their treatment. Advertisement What to eat on Mounjaro It's not just about consuming fewer calories, it's about eating the right kinds of foods to ensure that you're nourishing your body properly Building a healthy relationship with foods rich in nutrients is key to sustainable weight loss and management. A restrictive diet is not recommended on Mounjaro. In the early stages of treatment, it is strongly advised to nourish your body with nutrient-dense meals so that you receive the essential energy sources you need at a time of lifestyle adjustment. Breakfast : Avocado and poached eggs on rye bread or sourdough toast, blueberry and banana smoothie, easy overnight oats Lunch : Chicken salad, falafel with crunchy vegetables served in a wholemeal pitta, hearty vegetable and lentil soup Dinner : Salmon and broccoli pasta Snacks : Fresh fruits and vegetables, nuts and seeds, low-fat Greek-style yoghurt or kefir (fermented dairy drink packed with probiotics) Source: ZAVA

The Journal
3 days ago
- The Journal
Weight loss injections become more attainable as they enter beauty clinics
THE MOVE TO bring obesity treatment injections further into mainstream use has taken another step forward with the news that it's now being offered outside strictly medical settings. Thérapie Clinics, best known for lip fillers and laser hair removal treatments, has now launched the doctor-led service Thérapie Health to provide access to Wegovy obesity treatment injections in Ireland. The company says it is a 'medically managed programme for those who meet the correct criteria'. The move has been largely appreciated by experts and patients who are advocating for increased accessibility to the medication to prevent people looking towards the black market. According to the HSE, Ireland has one of the highest levels of obesity in Europe , with 60% of adults living with the disease. Obesity treatment injections are intended to fight obesity and its associated diseases, such as type 2 diabetes, cardiovascular disease, respiratory disease, several types of cancer, pain and musculoskeletal disorders. It costs €365 to begin using obesity treatment injections at Thérapie Health, including €220 per month for the Wegovy medication. Each follow-up appointment costs €35. Belinda Hogan, who lost over 80 pounds using Ozempic between 2022 and 2023, told The Journal she welcomes an increase in the availability of the obesity treatment injections. 'I would say it's a good thing because if you get to go in and sit in front of a doctor, they can check your health markers,' she said. She highlighted the importance of doctors being knowledgeable about the medications and clearly communicating the administration process to patients. Advertisement Hogan runs an online coaching programme for users of weight loss injections, she said she receives messages every day from people who have been prescribed the medication but don't know how to use it. She also said cost can be a barrier to accessing obesity treatment injections. 'It's wealthcare as opposed to healthcare. It's not fair,' she said. 'It doesn't just help you lose weight, it staves off other health medications. It stopped me getting diabetes, and being an absolute drain on the system,' she added. Hogan uses an online doctor service based in Northern Ireland to access her prescription to Mounjaro, as the medication is cheaper in the North. Mounjaro medication generally ranges from €285 to €475 per month in pharmacies in the Republic of Ireland, in comparison to £133.40 (€153.94) to £254.91 (€294.06) per month in pharmacies in Northern Ireland. Aisling O'Leary lost over 100 pounds using Ozempic between 2022 and 2023. She said: 'I'm a huge advocate for these medications to be used for treatment of chronic obesity, but it is a disease, and it should be done right through the correct channels.' 'People need to be making monthly check-ups, but also need to be referred to a dietician and counsellor to treat all parts of the obesity disease, not just take the medication and hope for the best,' she added. O'Leary, who is a medical card holder, paid €139.50 monthly for Ozempic during her weight loss journey, which took a considerable chunk out of her income as a pensioner. She said the medication should be available on the drug payment scheme, adding that many people travel to Northern Ireland to access Mounjaro. Dr Francis Finucane, Consultant Endocrinologist with the National Clinical Programme for Obesity, told The Journal he welcomes the move by Thérapie. Read Next Related Reads Will Ireland follow the UK with free Mounjaro jabs? Minister says assessment to be ready by next year He said: 'It appears to be a bona fide clinically supervised doctor service with carefully considered criteria'. Dr Finucane said the cost of the drugs act as a barrier for people who could benefit from their use and criticised the lack of funding for obesity treatment medication in Ireland. Weight loss injections in Ireland currently cost between €120 and €475 per month. He said: 'They are extremely expensive considering they are being used for legitimate a disease.' 'The Health Service will not fund effective proven treatment of disease', he said, adding that services relating to diseases from alcohol and smoking are funded 'generously and compassionately' by the state. Minister for Health Carroll MacNeill said that Wegovy will be available as early as the end of 2025 as part of the HSE's reimbursement schemes, including the Medical Card Scheme and Drugs Payment Scheme. Another weight loss injection, Saxenda, has been available on the scheme since January 2023. Dr Finucane warned that caution must be exercised when accessing obesity treatment injections. 'There are unscrupulous actors out there using these drugs for cosmetics, gaining financially from vulnerable people who want to be skinny,' he said. He said that in some cases obesity treatment injections are not being used for their intention of fighting obesity and the connected health issues, but rather as a cosmetic enhancement to fulfil the 'cultural desire for thinness'. According to Dr Finucane, the aesthetical desire to be thin 'mopped up the demand for the medication', in part contributing to the shortage of these medications in 2023. Readers like you are keeping these stories free for everyone... A mix of advertising and supporting contributions helps keep paywalls away from valuable information like this article. Over 5,000 readers like you have already stepped up and support us with a monthly payment or a once-off donation. Learn More Support The Journal


The Irish Sun
3 days ago
- The Irish Sun
Woman on Mounjaro warns people to ‘NEVER go cold turkey' after revealing brutal side effects when she had supply issues
A WOMAN has shared the brutally honest truth about what happened when she was forced to ''go cold turkey'' from Mounjaro. Content creator Freya has been using the Advertisement 3 The TikToker shared the brutally honest truth about being forced to 'go cold turkey' from Mounjaro Credit: tiktok/@freyatheblondieee 3 Freya revealed she was on 'a high dose' of the medication Credit: tiktok/@freyatheblondieee 3 Mounjaro is typically used to treat type 2 diabetes Credit: Getty However, in a recent post, the young TikToker revealed she had to temporarily stop the popular medication while waiting for a new pen to arrive — and the Mounjaro is regarded by some as the King Kong of weight loss jabs. Sun GP But despite this, the NHS warned: 'Never take an anti-obesity medicine if it has not been prescribed to you. Advertisement read more on weight loss "These types of medicines may not be safe for you and can cause serious side effects.' About half a million Brits use weight loss drugs - and the number is expected to double in the next year. The injections are licensed for patients with Advertisement Most read in Fabulous One jab is administered each week but the duration is dependent on someone's weight. I went on fat jabs but the hair loss was unbelievable so I quit - I'd rather be chubby with hair than skinny and bald ''Take this as a sign to NEVER ''I would have done very sinister things for this burger. Advertisement ''My hunger is out of control - I want to punch everyone who is not food in the face.'' In the comments, Freya, who posts under the username @ Everything you need to know about fat jabs Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases. Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK. Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market. Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year. How do they work? The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight. They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists. They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high. Can I get them? NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics. Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure. GPs generally do not prescribe the drugs for weight loss. Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk. Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health. Are there any risks? Yes – side effects are common but most are relatively mild. Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea. Dr Sarah Jarvis, GP and clinical consultant at said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.' Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia. Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health. Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines. ''It's not by choice - I think drastically dropping is far too risky for Advertisement The TikToker also confirmed she had been on a ''high dose'' of the jab. Social media users react The brutally honest clip sparked over 600 comments left by fellow fat jab users - many of whom opened up about their experience of ''food noise''. ''Food noise'' is the term used to describe the near-constant stream of thoughts about eating that some people struggle to switch off. More often than not, this leads to cravings for calorie-dense, low-nutrient foods and episodes of Advertisement One wrote: ''I gained three stone in six months after I stopped it. Went to Turkey, had the [ Another chimed in: ''The hunger that comes after it is awful - I've put on a stone in six weeks. Waste of money.'' A third said: ''I forgot to order my jab in time and was a literal feral person. This made me laugh so much but equally terrified to come off.'' However, others pointed out that in their eyes medications like Mounjaro aren't a permanent fix - but rather tools to help users develop Advertisement One follower shared: ''I was absolutely starving when I came off it. ''Took so much willpower for a couple of weeks, but now I'm eating just like I was when I was on it. ''Lost three stone with Mounjaro and another two since stopping. You just have to push through until the Another said: ''Been off it three days and I'm definitely eating more. But this is where willpower comes in. I'll never be the 26 stone I was last year.'' Advertisement What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea : This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting : Can occur, often in conjunction with nausea. Diarrhea : Some people experience gastrointestinal upset. Constipation : Some individuals may also experience constipation. Stomach pain or discomfort : Some people may experience abdominal pain or discomfort. Reduced appetite : This is often a desired effect for people using Ozempic for weight loss. Indigestion : Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis : In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems : There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors : There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems : Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar) : Especially if used with other medications like sulfonylureas or insulin. The reality of Mounjaro Although many have boasted about A probe also found that nearly 400 people have gone to hospital after taking The common side effects include nausea, vomiting and diarrhoea, which can lead to severe dehydration. And if that wasn't bad enough, doctors say they have also seen 'life-threatening complications', including seizures, bowel obstruction and inflammation of the pancreas. Advertisement Model Lottie Moss, 27, even said The makers of Mounjaro, Lilly UK stressed: 'Regulatory agencies conduct extensive independent assessments of the benefits and risks of every new medicine and Lilly is committed to continually monitoring, evaluating, and reporting safety data. 'If anyone is experiencing side effects when taking any Lilly medicine, they should talk to their doctor or other healthcare professional.' Advertisement