Search Captions & Ask AI

Science Corner with David Friedberg: GLP-1 Study Shows Encouraging Results

February 10, 2025 / 12:17

This episode discusses the recent macro study on GLP-1 receptor agonists, featuring insights on health effects, data from the VA, and implications for diabetes treatment.

The conversation highlights a study from St. Louis that analyzed health outcomes for over 1.2 million diabetes patients, comparing those on GLP-1 drugs to others. The findings indicate a decrease in serious health issues like cardiac arrest and liver failure among users of GLP-1 medications.

Key participants discuss the potential mechanisms behind these benefits, including gene expression changes that may occur with GLP-1 drug use. The implications of these findings are compared to traditional weight loss methods and their impact on health.

Listeners hear personal anecdotes about the challenges of maintaining a healthy lifestyle and the confusion surrounding various health protocols. The episode emphasizes the need for simpler health guidelines.

Overall, the discussion provides a comprehensive look at the emerging research on GLP-1 drugs and their potential benefits beyond weight loss.

TLDR

A study on GLP-1 drugs reveals significant health benefits for diabetes patients beyond weight loss.

Episode

12:17
00:00:00
the one I wanted to do is that new macro study on gp1s which I think is super interesting oh tell us do you guys
00:00:07
remember I talked a while ago about how they were able to mine VA data so the VA
00:00:12
right they they take care of veterans and they have all the medical records and on an anonymized basis they can make
00:00:20
that data available to researchers and so if you guys remember this this is how they identified that the Epstein bar
00:00:25
virus or the virus that causes mono as being statistically certain to be the trigger for multiple sclerosis in the
00:00:31
cohort of hundreds of thousands of patients that were in this this data set no one got Ms that didn't get Epstein bar
00:00:41
virus if you did not get Epstein bar virus you did not get Ms I don't know if you guys remember I did the science
00:00:46
Corner a while ago anyway so the data set that you can mine at the VA is incredible so they pulled all the data
00:00:51
from everyone that's been on the glp1 agonists and they identified all of the health effects across multiple
00:00:57
indications the statistical difference between the cohorts okay so this research team out of St Louis pulled all
00:01:04
the data from the VA database and basically they looked at you know 1.2 million people with diabetes that didn't
00:01:10
take anything compared to 215,000 that took the glp1 receptor agonists and another 600,000 people that took other
00:01:19
drugs for diabetes so basically this cohort segmentation allows them to isolate the
00:01:28
effect of the glp1 drugs um and as you can see here this shows across hundreds of thousands of patients the effect of
00:01:35
the glp1 on a hazard ratio which means like How likely are you to have the following health condition versus the
00:01:42
population that's not taking the glp ones and then uh on the right if you scroll to the right Nick are the
00:01:49
increase in risk and on the left are the things that go down so the increase the
00:01:53
only thing that increased is like you know 8% or 10% increase in nausea and vomiting y confirm uh muscular skeletal
00:02:01
complications grd which is you know gastric reflux from sleep indigestion yeah and sleep disturbance to
00:02:10
indigestion so it's all abdominal stuff now if you go over here to the benefit side so the benefit side is what
00:02:16
conditions did you see a decrease in so you have a decrease in shock a decrease in uh he hepatic failure so liver
00:02:23
failure respiratory failure cardiac arrest in fact on cardiac arrest you see a 30% decrease in the probability of
00:02:31
having cardiac arrest from the cohort that's on the gp1 verus Bia wow schizophrenia so so this goes to the
00:02:40
point if you guys remember the interview I did a couple months ago with the CEO of Eli Lily that they have all these
00:02:46
clinical trials going on right now for different indications for the glp1 receptor agonists that they're seeing
00:02:51
that there's health benefits Beyond just the weight loss in reducing things like
00:02:56
kidney disease obviously liver problems mental problems and so on do we know why
00:03:01
and and if we don't know why do you think it's because this is suppressing the food and
00:03:08
it's the the lack of food or the change in the food consumption that's creating this do you know what I'm asking like do
00:03:13
you think the drug is actually yeah yeah so um you should watch the interview I did with RX in fact this is a good
00:03:19
moment to call it out if you haven't seen it yeah I think he highlights that this class of drugs there are you know
00:03:25
genes get turned on and off so there's a you know what's called a gene expression
00:03:30
Cascade that occurs with certain compounds so we know that the gp1 receptor Agonist means that it binds to
00:03:37
these glp1 sites and there's a cascading effect of genes that then get expressed
00:03:42
and what that seems to do is turn off things like inflammatory markers it turns on things like C two genes which
00:03:49
can actually increase cellular repair so there seem to be other benefits from these drugs Beyond just the appetite
00:03:54
control and it's not the appetite control itself but there seems to be other effects let me ask you a question
00:04:00
from these these receptors being activated would you put your kids on this no okay would you put your wife on
00:04:08
this I would consider it and I would consider it for myself too just for the anti-inflammatory effects how will you
00:04:15
make that decision well for me personally and the thing that I weigh against is the muscle loss and uh the
00:04:21
the bone density loss so I think that if you look at the the biggest kind of effect on these on a on the downside
00:04:26
basis is you should increase your protein in your diet you have to do weightlifting there's things that you
00:04:32
would do and frankly if you do those things anyway if you increase protein in your diet and do more weightlifting
00:04:37
you're actually going to see very good health benefits from just doing those things that may actually outweigh the
00:04:42
benefits you get from on the G I have a question D which is and this is the question is when when you look at that
00:04:47
data and you talk to the the CEOs how much you think really longterm when the longterm sites are out is going
00:04:53
to be that it was the drug or just that being obese is very bad for you and so when you take your body fat down
00:04:59
dramatically all these other Gene Expressions happen anyway right so you think it which one will it be well this
00:05:04
is this is what they're starting to isolate and I will say Antonio they are starting to see that there are other
00:05:10
Expressions that are not related to the Obesity and people that don't have obesity that they're using that are
00:05:15
using these drugs so they're they're seeing that cohort data now clinical studies uh phase two were published and
00:05:20
I think we're going to see phase three and some of these indications soon but it is looking very positive that it's
00:05:26
not just the loss of obesity now to your point being obese not exercising eating poorly destroys
00:05:33
your health you stop that right right everything gets better um if you lift weight freeer can you tell us when you
00:05:39
decide to do this I will yeah if I if I do do a glp1 um receptor Agonist I will let you guys know right now I'm I I
00:05:46
actually feel like I want to go through a process of increasing uh my weightlifting routine
00:05:52
more I I you know I've been trying to create a more kind of rigorous my schedule just sucks so that's been the
00:05:57
hardest thing for me but I actually want to go through that first before making that
00:06:01
decision kind of cool David I'm sorry no I was just curious why why that order I
00:06:06
don't understand I want to measure the effects because I do think that if you actually get into a regular
00:06:10
weightlifting routine and you increase protein in your diet which is another thing I've been making a a concerted
00:06:16
measured effort to do which is hard as a vegetarian by the way you see pretty significant uh health
00:06:24
effects and so I'm trying to get through the process of increasing muscle composition before I make the de ision
00:06:29
on whether or not to add G one I don't want to kind of confound the two factors you know what I did that made it super
00:06:34
easy for me um is I got uh egg whites in a carton and I have and I have this incredible uh
00:06:42
crunchy spicy garlic thing that everybody muku and everybody makes and everybody's crazy about just in the
00:06:49
mornings I'll eat whatever it is 10 ounces 12 ounces of egg whites with that spicy stuff it's delicious it's awesome
00:06:56
and I just try to you know get that whatever 30 40 grams of protein first thing in the morning and then doing the
00:07:03
rucking well this is is easy like you just wear a 35 lb weight vest freeberg and you walk a mile or two and you will
00:07:10
get like my problem Jason with all of this is that every time I see something so I saw Gary Brea on the Shawn Ryan
00:07:17
podcast recently and Shan Ryan asks him like what are a handful of things that you recommend for everybody right and he
00:07:26
recommends mineral salt and then he recommends a methylated vitamin recommends amino acids whatever there's
00:07:31
a protocol then if you happen to catch a clip on X of Andrew huberman he'll have
00:07:36
a protocol and then Brian Johnson has a protocol and the problem is all these Protocols are slightly the same but
00:07:43
they're just different enough where it creates a huge cognitive load in a normal person like myself to your point
00:07:48
freeberg Who's busy who's got a job who's got kids how do you decide and so I would really love something to be sort
00:07:57
of like I don't want to say gold standard because you can't say that but that is like what's the real bank for
00:08:03
your buck what Antonio said you know are you just better off just losing the 50 pounds and then this is why these
00:08:10
products are successful and I think will be continue to grow pretty dramatically
00:08:14
Antonio is because it is pop a pill and it solves all those problems it doesn't require a cognitive load it will be in a
00:08:20
pill format soon right I mean the pills are almost here I would be very cool actually DAV if you do this U to Jamal's
00:08:27
point about you know people being confused if you did the every the every person's um kind of story around this
00:08:35
journey and you documented it you know like you you did like this is my weight I did weightlifting first and I did the
00:08:40
gop1 and you actually did like a weekly thing where you checked in and even it was 10 minutes up on X or something
00:08:45
where you just gave people the journey um in a way that wasn't so complicated because I think people are confused Jam
00:08:52
me I have I have very good doctors you guys get doctors but if you don't you don't know what to do by the way that
00:08:57
the problem for me just to give you a sense of it I had a doctor in La I had a doctor in San Francisco I would have
00:09:04
them do their own versions of things then I would have somebody else help me compare it cost me way too much money
00:09:10
and all that complexity did was make the quality of my healthare actually go down
00:09:15
yeah and instead what I really wanted was just a very simple protocol that said take the metformin because it's
00:09:21
good for you take the vitamin D take the omega-3 fatty acids otherwise just eat this meal plan and it would help me a
00:09:28
lot more than then I've had to Cobble it together myself because by the way when
00:09:32
you see something like you know Gary Brea is very very articulate very smart but when I see him on the Shan Ryan
00:09:37
podcast the first thing I do is I go and populate an Amazon cart with all the things that he said because my instinct
00:09:44
is well I should do the right thing for myself this is a couple hundred bucks it's worth the investment but then the
00:09:49
day after somebody else say something else you know so I'll be really you have a little OCD though jamad I've known you
00:09:55
for a long time you get very obsessive with died because of poor health my best friend died of poor health I feel like
00:10:04
you you should at least do the things that are preventable have you guys seen that that post jamat did with he was
00:10:09
like half naked in the mirror he looks great what are you talking about he looks great if if you you could look
00:10:15
like that you you'd do it too no no no I'm talking about like when you had the glucose monitor I'm sitting with him at
00:10:20
the poker table he's got the glucose monitor and he's taking a sip of wine he's checking the glucose he's he's
00:10:26
having like a piece of BJ then he's checking the glucose it just like literally becomes obsessive
00:10:32
then with the you know then we had a i me come on that's this AI stuff this Genera you know what's so funny about
00:10:40
this picture all these clowns all these clowns on the internet are like they don't understand that when you're 6'2
00:10:47
these are big legs when you're six not big when you're short King when you're short King when you're like my Chopstick
00:10:57
I lost my chopsticks when you're 57 58 I get I get it while you guys cuz you guys
00:11:02
are all stubby and short I don't get it this is the problem with generative AI you can tell it's a fake photo you can
00:11:07
tell that that was generative AI because nobody has legs that thin how could you
00:11:11
have biceps and then legs that th doesn't make sense blushing unbelievable what a thirst trap
00:11:19
now you guys are going to find photos of Antonio and I we're going to throw them
00:11:22
unb listen I have have four pieces of advice for people number one get good sleep number two exercise number three
00:11:31
diet number four meditation and if you want to do that it's very simple you get you get the calm meditation app you get
00:11:37
the eight sleep sleep you get the fitbod for fitness and then you get neutri forut your diet those are the four
00:11:49
things you focus on make sure you have a AA you get a good Athena assistant all of this is
00:11:56
brought to you by my NGO which is all in Ng USA gave us18 Million last year guys
00:12:01
I forgot to tell you about it but don't worry it's in an offshore account for all of us when we get back to Ethiopia
00:12:08
Vietnam we have an all-in castle built there okay we built uh with our NGO we'll see everybody next week love you
00:12:16
boys

Badges

This episode stands out for the following:

  • 60
    Most shocking
  • 60
    Best concept / idea

Episode Highlights

  • The Power of VA Data
    Researchers utilized VA data to link Epstein-Barr virus to multiple sclerosis.
    “No one got MS that didn't get Epstein-Barr virus.”
    @ 00m 36s
    February 10, 2025
  • GLP-1 Drug Benefits
    GLP-1 drugs show significant health benefits beyond weight loss, including reduced cardiac arrest risk.
    “A 30% decrease in the probability of having cardiac arrest.”
    @ 02m 28s
    February 10, 2025
  • Cautious Approach to GLP-1
    A discussion on the importance of measuring effects before starting GLP-1 drugs.
    “I want to measure the effects first.”
    @ 06m 06s
    February 10, 2025

Episode Quotes

  • The VA data is incredible!
    Science Corner with David Friedberg: GLP-1 Study Shows Encouraging Results
  • Wow, a 30% decrease in cardiac arrest!
    Science Corner with David Friedberg: GLP-1 Study Shows Encouraging Results
  • I want to measure the effects first.
    Science Corner with David Friedberg: GLP-1 Study Shows Encouraging Results

Key Moments

  • VA Data Insights00:49
  • Health Benefits of GLP-102:28
  • Cautious Decision-Making06:06

Tension Over Time

Words per Minute Over Time

Vibes Breakdown