What are the cardiovascular benefits of using semaglutide (Wegovy) for weight loss?

### Cardiovascular Benefits of Semaglutide (Wegovy) for Weight Loss Recent studies have shown that semaglutide, marketed as Wegovy, not only aids in weight loss but also significantly reduces the risk of cardiovascular problems such as heart attacks and strokes. In a trial involving over 17,000 participants with overweight or obesity and cardiovascular disease, those who received 2.4-milligram shots of semaglutide experienced a 20% reduction in heart-related deaths, heart attacks, or strokes. This finding is particularly important as it highlights the broader health benefits of Wegovy beyond just weight loss. The study results, released by Novo Nordisk, the maker of Wegovy, also indicated that the treatment significantly reduced the frequency of these cardiovascular issues. Additionally, the safety and patient tolerance for the weekly shots were consistent with previous reports. The FDA had approved semaglutide as Wegovy in 2021 for weight loss and as Ozempic, with a maximum dose of 2.0 milligrams, for blood sugar control in people with type 2 diabetes. Semaglutide belongs to a class of drugs known as glucagon-like peptide-1 (GLP-1) agonists. Experts like Naveed Sattar, a professor of metabolic medicine at the University of Glasgow, have praised the results, noting that preventing heart attacks and strokes with a drug that also lowers weight is very beneficial for many patients. However, there is still some uncertainty about the extent to which the weight loss effects of semaglutide contribute to the 20% reduction in cardiovascular events, as opposed to its direct effects on blood vessels or the heart. Despite this uncertainty, the findings challenge the long-standing skepticism about the medical necessity and safety of weight loss drugs. Historically, many weight loss medications had substantial adverse effects, including increased major issues in the heart and blood vessels, leading to caution among doctors and limited health insurance coverage for such treatments. For instance, Medicare has a long-standing policy against reimbursing the cost of medications used for weight loss. The new evidence from the semaglutide trial could potentially change how obesity and weight management medications are regarded, possibly leading to improved patient access and broader health benefits.