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Study: 82% Regain Weight After Stopping Mounjaro

Stopping tirzepatide led 82% of participants to regain at least 25% of lost weight and reversed improvements in blood pressure, cholesterol, and blood sugar, researchers found.

  • Next year, a post-hoc analysis led by Deborah B. Horn found stopping tirzepatide was linked to reversal of cardiometabolic improvements with increases by week 88 in blood pressure, lipids, HbA1c, insulin, and waist circumference.
  • Researchers warned continuous treatment may be needed, as long-term anti-obesity treatment may sustain weight and cardiometabolic benefits, but Deborah B. Horn, DO, MPH, and co-authors noted longer follow-up is necessary.
  • By degree of regain, metabolic markers rose in step with weight return, with systolic blood pressure increasing 6.8 mm Hg to 10.4 mm Hg and fasting insulin rising up to 46.2% across regain categories.
  • Clinicians should warn patients they will likely regain much weight and lose cardiometabolic benefits if they stop medication, and consider calling them chronic "weight management" drugs, Elizabeth Oczypok, MD, PhD, and Timothy S. Anderson, MD, MAS advised.
  • The trial enrolled 308 adults with obesity or overweight meeting BMI criteria, nearly all on a 15-mg maximum tolerated tirzepatide dose, and maintaining a 500 calorie daily deficit plus at least 150 minutes/week activity.
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Healthline broke the news in on Monday, December 11, 2023.
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