OMA Guidelines Bundle

Obesity Pharmacotherapy - Obesity Algorithm 2024

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2 Anti-obesity Medications Objectives of Anti-obesity Medications Improve the health of patients   ➤ Improve hyperglycemia, high blood pressure, and abnormal lipid levels.   ➤ Reduce cardiovascular events.   ➤ Improve other adverse metabolic, biomechanical, and psychosocial health consequences, with improved quality of life.   ➤ Reduce mortality. Improve the weight of patients   ➤ Weight loss to a clinically meaningful degree that patients and clinicians will embrace initiation of anti-obesity therapy.   ➤ Weight loss maintenance to a degree that patients and clinicians will persist in adhering to long-term anti-obesity therapy. TOP 5 TAKEAWAY MESSAGES: Anti-obesity Drug Development 1. Targets of current anti-obesity drug development are mainly focused on intervention pathways related to the central nervous system, gastrointestinal systems, and adipose tissue. 2. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are being combined with other agents as double or triple hormone receptor agonists (e.g., retatrutide). 3. An emerging concept is that the development of anti-obesity agents must not only reduce fat mass (adiposity) but must also correct fat dysfunction (adiposity-related disease). 4. Novel agents are becoming more effective and reaching outcomes similar to what is observed with bariatric surgery. 5. With the exception of anti-obesity agents that are a combination of drugs in a single formulation, limited data exists for combinations of multiple anti-obesity medications.

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