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Evidence-based GLP-1 & peptide discussion since 2023
ForumsCardiovascular OutcomesMy cardiologist just high-fived me at my checkup lol — July 2024 Page 3

My cardiologist just high-fived me at my checkup lol — July 2024

MASHdoc_SA Mon, Feb 2, 2026 at 11:23 PM 39 replies 1,296 viewsPage 3 of 8
COA_Karl
Senior Member
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8,901
Jan 2024
Pennsylvania
Feb 7, 2026 at 12:11 PM#11
Dr.ObesityLA said:
KevinCompounds said: ...we don't know the long-term effects of cardiovascular risk...

6 month update on cardiovascular risk: down 39 lbs, off blood pressure meds, A1C normalized. Genuinely life-changing.

Last edited: Feb 7, 2026 at 1:11 PM
30 5matt_MKE, Dr.ReproEndo, lucas_SP_BR and 27 others
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hans_munich
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Jul 2024
Munich, DE
Feb 7, 2026 at 8:37 PM#12
GenomicsKate said:
NNT calculation for cardiovascular risk clinical endpoints: NNT = 1/ARR (absolute risk reduction).

That reframing is the part I needed. Printing the relevant bit and taking it with me.

Last edited: Feb 8, 2026 at 2:37 AM
29 4alex_tucson, kevin_tulsa, Dr.PainCLE and 26 others
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Dr.NateNeph
VIP Member
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Dec 2023
Houston, TX
Feb 8, 2026 at 5:03 AM#13
Dr.ObesityLA said:
KevinCompounds said: ...we don't know the long-term effects of cardiovascular risk...

Vitamin deficiency cascade with cardiovascular risk: after 6+ months of reduced food intake, I developed a subtle but important pattern: low B12 → elevated homocysteine → increased cardiovascular risk marker.

The connection: B12 is a cofactor for homocysteine metabolism. Without adequate B12, homocysteine accumulates. This is ironic — taking a CV-protective medication while developing a CV risk factor from reduced nutrition.

Solution: comprehensive vitamin supplementation and regular lab monitoring. Don't let the medication's benefits be undermined by nutritional deficiencies.

Last edited: Feb 8, 2026 at 7:03 AM
28 3SteveThurs, B12Beth, RickReta_CO and 25 others
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josh_phd_bmore
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1,678
Jul 2024
Baltimore, MD
Feb 8, 2026 at 1:29 PM#14
MASHdoc_SA said:
My reason for being on this is cardiovascular rather than cosmetic, which puts me in a small minority in most of these threads.
MASHdoc_SA said:
...cardiovascular risk is just another fad...

I understand the skepticism — we've all seen "miracle" weight loss solutions come and go. But consider what makes GLP-1 agonists different:

  • Phase 3 RCTs with thousands of participants (not 20-person pilot studies)
  • Published in NEJM, JAMA, Lancet (not press releases)
  • Replicated across multiple independent research groups
  • Proven cardiovascular and renal benefits beyond weight loss
  • Biological mechanism fully characterized at the receptor level

This isn't a fad — it's a new drug class supported by the highest level of clinical evidence. The comparison to past fads is understandable but inappropriate.

Last edited: Feb 8, 2026 at 3:29 PM
27 2KarenAZ_mom, zoe_NC, Dr.ObesityLA and 24 others
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mike_mod
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Feb 8, 2026 at 9:56 PM#15

Moderator note: a couple of off-topic posts removed. Thread quality here is what the rules are for. Keep it up.

Last edited: Feb 8, 2026 at 11:56 PM
26 1PurityPaulOR, MaxMetOK, MounjBrad and 23 others
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