Popular Weight-Loss Drugs May Cause Unintended Heart and Muscle Loss

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Research reveals that popular weight-loss drugs could diminish muscle mass, including heart muscle, raising concerns about their long-term safety.

Study Raises Alarms: Weight-Loss Drugs May Cause Heart and Skeletal Muscle Loss

Recent research indicates that widely used weight-loss medications could lead to unintended muscle loss, including in the heart, which may pose serious health risks over time. Experts urge caution and emphasize the importance of balanced nutrition and regular exercise to mitigate these potential hazards.

New Study Sounds the Alarm

A study from the University of Alberta highlights that popular weight-loss drugs might have unintended side effects, including muscle loss in the heart and skeletal system. Lead author and pediatric professor Jason Dyck warns these findings serve as a cautionary tale, necessitating a careful evaluation of the benefits and risks associated with such medications.

“While the benefits of these drugs can outweigh the risks for certain individuals, broader usage in those who may not meet eligibility criteria could change this risk-reward equation,” Dyck notes.

Focus on Ozempic and Similar Medications

The research specifically examines Ozempic, a common weight-loss medication known medically as semaglutide. Initially developed for managing type 2 diabetes, Ozempic and other medications in the same class are increasingly prescribed for obesity treatment.

Long-Term Health Risks Explored

In the study, researchers used mice to observe effects of Ozempic on muscle mass. Both obese and lean mice showed a decrease in heart muscle. The findings were further confirmed using cultured human heart cells, suggesting a systemic impact of the medication.

“We did not observe any functional heart issues in mice at rest. However, long-term effects or stress on the heart might reveal more significant impacts,” Dyck explains.

Emerging Research: Potential for Muscle Decline

This study aligns with a recent commentary in The Lancet, co-authored by researchers from the University of Alberta, McMaster University, and Louisiana State University. Their analysis showed that up to 40 percent of weight loss from these medications comes at a significant cost: muscle loss. This muscle decline is far more pronounced than what is typically seen with calorie-reduced diets or age-related muscle deterioration.

Why Muscle Preservation is Crucial

The loss of muscle can lead to several health issues, including weakened immunity, increased risk of infections, and poor wound healing. Muscle is also a critical organ that aids in sugar regulation, vital for preventing diabetes. Additionally, muscles emit myokines, which help fight infections and support the immune system.

“Muscles do more than just help us move. They play a key role in our overall health,” highlights Carla Prado, a nutrition researcher at the University of Alberta.

Impact on Specific Conditions

The researchers point out that muscle loss during weight loss can exacerbate conditions such as sarcopenic obesity, a combination of high body fat and low skeletal muscle mass. This condition is linked to poorer health outcomes and higher mortality rates, underscoring the vital importance of muscle preservation during weight reduction.

Maintaining Muscle Health During Weight Loss

To minimize muscle loss while losing weight, experts recommend focusing on diet and exercise. Proper nutrition includes adequate protein intake, essential vitamins and minerals, and other nutrients crucial for muscle building. Exercise, particularly resistance training like weightlifting, is also essential.

“Resistance training helps maintain muscle strength during weight loss,” Prado advises. “Following a balanced program can help lose fat while preserving muscle health.”

Future Research: Understanding Mechanisms

The commentary calls for further research to explore how muscle mass and composition can be preserved during weight loss. Collaboration between Prado and Dyck will investigate the underlying mechanisms and impacts of muscle wasting in relation to this class of medications.

Conclusion: Balancing Benefits and Risks

While weight-loss medications can be effective, the potential for muscle loss, including heart muscle, highlights the need for cautious use and a holistic approach to weight management. By prioritizing nutrition and exercise, individuals can maximize the benefits of treatment while minimizing risks.

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