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XorNotyesterday at 10:52 PM2 repliesview on HN

That's because you grew up in a society still deeply coded to puritan moral viewpoints.

People for so upset that GLP-1 has no long term side effects.

There's still the crowd completely sure everyone will get HyperCancer in 10 years or something (they won't).


Replies

cthalupatoday at 8:40 AM

We have no specific reason to believe there are concerns with GLP-1s for cancer or anything else, beyond the mildest signal in rodent studies around thyroids.

We do not have robust clinical data for things like BPC-157 but we do have strong preclinical data and an understanding of the mechanisms in play.

I use BPC-157/TB-500/Ghk-CU/KPV - so I'm certainly OK taking the risks. But those mechanisms mentioned before? The same things we're counting on for healing and inflammation reduction are the same things that we know can cause an increase in tumor growth rate and chance of metastasizing. VEGF/VEGFR2 expression are even suppression targets for some cancer therapies.

Are there powerful and useful medications out there, available today, that we both don't have good scientific data on and are free enough of serious side effects? For sure! Is everything out there that, though? No. Some things that work will have too serious of a side effect profile to be feasible. Some things won't work at all, despite however much anecdata is out there.

As for the general idea... I agree there's no law that says a medicine with a strong positive effect must also have strong side effects. And we have plenty that don't - statins, particularly the latest generation, like pitavastatin, are effectively side effect free for the hugely overwhelming majority of people and have great lipid lowering effects. Even older ones showed extremely minimal incidents of things like muscle pain - a vanishingly small number of people relative to the total amount on the medications report muscle pain, and when investigated, quite a lot of even that ends up being unrelated to the statins. Yet the narrative persists that make it sound like anyone on statins is going to have their muscles ache 24/7

rzmmmtoday at 5:43 AM

I'm glad we have GLP-1, and I don't think there are really major side effects. But they are ineffective outside clinical trial setting for treating obesity.

It seems to be like treating alcoholism with disulfiram: it's a miracle in clinical trials but in the real world the patients just lower the doses or discontinue treatment after 1-2 years and go back to their old habits.

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