Semaglutide (WEGOVY and OZEMPIC): A breakthrough for weight loss and heart health

Written by: Dr Gosia Wamil
Published:
Edited by: Carlota Pano

Semaglutide, a medication initially developed to treat diabetes, has recently made headlines for its impressive benefits in weight loss and overall heart health. This drug belongs to a class called GLP-1 receptor agonists (GLP-1 RAs), which mimic a hormone in our body that helps control blood sugar levels.

 

However, recent research has unveiled that Semaglutide does much more than just manage diabetes. Dr Gosia Wamil, renowned consultant cardiologist, provides an expert insight.

 

 

Weight loss wonder

 

Semaglutide has been found to be extremely effective in promoting weight loss. In a series of rigorous clinical trials, participants who took Semaglutide experienced significant reductions in body weight compared to those who took a placebo. This effect is particularly beneficial because obesity is a major risk factor for numerous health conditions, including heart disease and liver problems.

 

Protecting the heart

 

One of the most remarkable findings is that Semaglutide can help reduce the risk of heart failure with preserved ejection fraction (HFpEF), a common type of heart failure where the heart muscle contracts normally but the ventricles fail to relax properly. HFpEF is often seen in patients who are obese, and managing weight can significantly lower this risk. A large randomised controlled trial (RCT) demonstrated that patients taking Semaglutide had a lower incidence of HFpEF, highlighting its potential as a heart-protective agent.

 

Liver health benefits

 

Obesity often leads to non-alcoholic fatty liver disease (NAFLD), which can progress to more severe liver damage. Semaglutide has shown promising results in reducing liver fat content and improving liver health. By aiding in weight loss, Semaglutide helps decrease the liver's fat burden, thereby reducing the risk of liver disease progression.

 

Beyond diabetes: A new role in cardiology

 

GLP-1 RAs like Semaglutide were originally developed to manage diabetes by enhancing insulin secretion and lowering blood sugar levels. However, their advantages go well beyond managing diabetes. Recent studies suggest that GLP-1 RAs can slow the progression of atherosclerosis, the build-up of fats and cholesterol in artery walls, which is a leading cause of heart attacks and strokes.

 

The cardiovascular impact of obesity

 

Obesity has a detrimental impact on the cardiovascular system. Excess weight puts a strain on the heart, raises blood pressure, and heightens the risk of developing type 2 diabetes, all of which contribute to cardiovascular diseases. By effectively promoting weight loss, Semaglutide addresses these risks head-on, offering a multifaceted approach to improving cardiovascular health.

 

Semaglutide is proving to be a game-changer not only for diabetes management but also for weight loss and cardiovascular health. Its ability to reduce the risk of HFpEF and liver disease, alongside its potential to halt the progression of atherosclerosis, positions it as a vital tool in modern cardiology. As ongoing research continues to uncover its benefits, Semaglutide may become a cornerstone treatment for those struggling with obesity and related cardiovascular conditions.

 

By harnessing the power of this versatile medication, we can look forward to a future with healthier hearts and slimmer waistlines.

 

 

If you would like to book an appointment with Dr Gosia Wamil, head on over to her Top Doctors profile today.

By Dr Gosia Wamil
Cardiology

Dr Malgorzata (Gosia) Wamil, PhD is an Oxford-trained, internationally recognised consultant cardiologist. She practices at the world-renowned Mayo Clinic Healthcare in London and the Manor Hospital in Oxford. Her clinical specialities are heart failure and the precise application of non-invasive cardiac imaging techniques, including cardiovascular MRIcardiac CT, and advanced echocardiography (trans-oesophageal echocardiography, bubble echocardiography, contrast echocardiography, 3D echocardiography, and stress echo).
 
Dr Wamil’s extensive expertise has been honed through years of dedicated practice and specialized training, with patients frequently asking her for a second opinion. Dr Wamil pursued comprehensive cardiology training at the Oxford University Hospitals between 2008 and 2017. This rigorous program encompassed fellowships in cardiovascular medicine, advanced cardiac imaging, heart failure and cardiomyopathies. During this period, Dr. Wamil earned internationally recognised accreditations in echocardiography, cardiac CT, and cardiac magnetic resonance, showcasing her commitment to excellence. She has received multiple awards for her academic excellence, including fellowships and grants from esteemed organizations like the British Heart Foundation, the European Association of Cardiovascular Imaging and the European Society of Cardiology.
 
Acknowledged for her academic excellence, Dr. Wamil has been honoured with multiple awards, fellowships, and grants from esteemed organizations such as the British Heart Foundation, the European Association of Cardiovascular Imaging, and the European Society of Cardiology. Her research journey spans the spectrum, from fundamental science and drug development (MSc and PhD in Cardiovascular Science, University of Edinburgh 2005-2008), to pioneering proof-of-concept studies employing imaging techniques (British Heart Foundation Postdoctoral Fellowship at the University of Oxford 2016-2017) and randomized clinical trials (MSc in Clinical Trials, University of Oxford 2022-2024).

Dr. Wamil is known for her cardiac MRI, CT, and advanced echocardiography expertise and is often able to combine them in ways that are transformational in the treatment of complex cardiovascular cases. Actively participating in the European Association of Cardiovascular Imaging, she holds a distinguished role as a member of the prestigious Leaders of Tomorrow Programme. This involvement allows her to be pivotal in organizing international teaching courses and setting standards for operating cardiac imaging departments across Europe. Her dedication to education extends to imparting knowledge and expertise to aspiring medical students and junior doctors through diverse teaching platforms and programs. 
 
In her clinical practice, Dr. Wamil excels with a uniquely effective human-centric and holistic approach to medicine with patients. Her expertise, however, extends well beyond the hands-on practice.
 
She holds the esteemed position of Honorary Senior Researcher Fellow in the Deep Medicine Department at the University of Oxford, actively contributing to ground-breaking research. As a Diabetes Pharma Committee Member at the National Institute for Health and Care Excellence (NICE), she co-authored national guidelines for managing heart disease in people with diabetes. In recognition of Dr. Wamil's scientific contribution, she holds the title of Fellow of the European Society of Cardiology and is a member of several medical organisations such as the Royal College of Physicians, British Society of Echocardiography, and European Society of Cardiovascular Imaging and the European Heart Association.
 
 

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