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ForumsPublic SquareLoose skin after major weight loss — my results so far Page 2

Loose skin after major weight loss — my results so far

BethLabQueen Tue, Dec 17, 2024 at 2:13 PM 43 replies 2,238 viewsPage 2 of 9
Dr.ReproEndo
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Dec 17, 2024 at 4:55 PM#6
CarlaRPh_TPA said:
Relative and absolute effects need reading together.

Pushing back on CarlaRPh_TPA here. I would add the less popular caveat: these trial populations under-represented several groups, older adults and the highest BMI categories among them. The results probably generalise, and "probably" should be stated as an assumption rather than dropped.

9 12mona_PHX, andrew_nyc, Dr.EndoEP and 6 others
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Dr.RaviCardio
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Dec 17, 2024 at 5:58 PM#7
BethLabQueen said:
My own curve sits about four points below the published mean and I spent two months assuming that meant something was wrong with me or with my…

Propensity score matching studies and the trial evidence: when RCTs aren't available for a specific question, propensity score-matched observational studies can provide useful evidence.

A recent PSM study of 18,000 GLP-1 users vs matched controls showed reduced all-cause mortality (HR 0.81) over 4 years of follow-up[1].

These results complement the RCT data and suggest the benefits translate to real-world populations.

References:
[1] Registry-based cohort study, pre-print 2024.
10 13anna.melb_AU, mark_tokyo, hans_munich and 7 others
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MASHdoc_SA
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Dec 17, 2024 at 7:01 PM#8
Dr.ReproEndo said:
I would add the less popular caveat: these trial populations under-represented several groups, older adults and the highest BMI categories among them.
Dr.ReproEndo said:
...regarding the trial evidence...

I think this is an underappreciated point. To expand on it with some data:

A recent meta-analysis of 12 RCTs (n=8,400) found that the trial evidence was associated with a significant effect size across diverse patient populations[1].

The NNT was 8, which is comparable to statins for secondary prevention. That's a strong clinical argument for this approach.

Last edited: Dec 17, 2024 at 10:01 PM
11 14JennaRN, LabKate, kate.chem and 8 others
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AttorneyGrant
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Dec 17, 2024 at 8:04 PM#9

One thing that is still open after julia.endo’s answer:

What did you change at the same time, and can you separate the two now?

12 15pat_auckland, Dr.GastroMayo, JakeBK_lifts and 9 others
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BethLabQueen
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Dec 18, 2024 at 1:04 AM#10

OP back with an update, since a thread like this is useless without one.

Follow-up: I read the paper rather than the summary and the qualifier I was missing was in the second paragraph of the results.

40 15wei_SG, cory_ATX, lori_vegas and 37 others
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