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BMJ Review Finds Benefits of Weight-Loss Drugs Largely Disappear Within Two Years of Stopping

A pooled review of 37 studies models rapid post-treatment regain, pointing to long-term management rather than short courses.

Overview

  • Across 9,341 participants, weight rose about 0.4 kg per month after stopping medication, with a return to pre-treatment weight projected at roughly 1.7 years.
  • Cardiometabolic improvements, including blood pressure and cholesterol gains, were projected to revert to baseline within about 1.4 years after cessation.
  • Patients on semaglutide or tirzepatide regained weight faster at about 0.8 kg per month, yet were projected to reach baseline at a similar time of around 1.5 years due to larger initial losses.
  • Weight regain after stopping medication was nearly four times faster than after completing lifestyle-based programs, regardless of the amount initially lost.
  • Participants were treated for an average of 39 weeks with roughly 32 weeks of follow-up, and researchers said they cannot yet predict who will maintain weight loss, as health bodies issue guidance and safety alerts during rapid uptake.