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Pilot Study Ties GLP-1 Drugs to Slower Alcohol Absorption and Milder Intoxication

Early evidence could guide larger randomized trials on using these medications to reduce problematic drinking.

Overview

  • Virginia Tech researchers reported in Scientific Reports that people on GLP-1 receptor agonists had a slower rise in breath alcohol concentration than matched controls during a controlled drinking session.
  • After 20 minutes, average BrAC was 0.017 g/dL in the GLP-1 group versus 0.037 g/dL in controls, and cumulative hourly alcohol exposure was significantly lower for those on the medications.
  • Participants taking GLP-1 drugs reported feeling less intoxicated throughout testing and entered the session with lower baseline alcohol craving.
  • Findings align with a likely peripheral mechanism in which slowed gastric emptying delays alcohol reaching the bloodstream, distinct from centrally acting treatments such as naltrexone or acamprosate.
  • The study was a small, non-randomized pilot involving 20 adults with obesity, showed no between-group differences in blood glucose, and prompted calls for larger randomized trials to test causality and clinical utility.