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Can once-weekly semaglutide produce meaningful weight loss in adults with obesity?In this 2-minute evidence brief, we break down the STEP 1 trial, a randomized double-blind clinical trial published in the New England Journal of Medicine in 2021. The study tested semaglutide 2.4 mg once weekly versus placebo, both with lifestyle intervention, in adults with overweight or obesity but without diabetes.Covered in this video:Why the STEP 1 trial was doneHow the trial was conductedMain weight loss resultsSafety and gastrointestinal side effectsKey clinical takeawayMain result: average body weight decreased by 14.9% with semaglutide versus 2.4% with placebo over 68 weeks.Citation:Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine. 2021.PMID: 33567185DOI: 10.1056/NEJMoa2032183This video is for medical education only and does not replace clinical judgment or individual medical advice.#Semaglutide #STEP1Trial #ObesityMedicine #GLP1 #MedicalEducationsemaglutide, STEP 1 trial, semaglutide obesity, semaglutide weight loss, Wegovy, GLP-1 receptor agonist, obesity treatment, obesity medicine, clinical trial explained, randomized controlled trial, RCT, NEJM, weight loss medication, semaglutide 2.4 mg, evidence based medicine, medical education, endocrinology, hormone insight, GLP-1 weight loss, obesity pharmacotherapy

This week on Hormone Insight: the fallout from the ADA 2026 Scientific Sessions, where retatrutide — a triple GIP/GLP-1/glucagon agonist — delivered nearly 2 points of A1C and about 15% weight loss in type 2 diabetes (TRANSCEND-T2D-1). Plus CagriSema vs semaglutide head-to-head, finerenone in chronic kidney disease without diabetes, the new ADA/EASD type 1 diabetes consensus, and a Hormone Classic revisit of SUSTAIN-6 — the outcome bar every new drug still has to clear.Segments:• Trial of the Week — Retatrutide in type 2 diabetes (TRANSCEND-T2D-1, The Lancet)• Quick Hit 1 — CagriSema vs semaglutide (REIMAGINE 2, Lancet Diabetes & Endocrinology)• Quick Hit 2 — Finerenone in CKD without diabetes (FIND-CKD, NEJM)• Guideline & FDA Watch — ADA/EASD type 1 diabetes in adults: 2026 consensus update• Hormone Classic — SUSTAIN-6 (semaglutide cardiovascular outcomes, 2016)⏱ Chapters00:00 Cold open00:38 Welcome & disclaimer01:02 This week01:47 Trial of the Week — Retatrutide (TRANSCEND-T2D-1)03:51 The Appraisal04:59 Bottom line — retatrutide05:29 Quick Hit 1 — CagriSema vs semaglutide06:54 Quick Hit 2 — Finerenone in CKD without diabetes08:04 Guideline & FDA Watch — ADA/EASD type 1 diabetes09:20 Hormone Classic — SUSTAIN-610:40 The Bottom Line11:23 Sign-off References & written summary: hormoneinsight.com/twide-2026-06-27For healthcare professionals. Educational, not individual medical advice.Subscribe for a new episode every Saturday. #diabetes #endocrinology #GLP1

This week on This Week in Diabetes & Endocrinology, from Hormone Insight: thefirst large phase 3 trial of an oral GLP-1, orforglipron, in adults with type 2diabetes and obesity (ATTAIN-2, Lancet). The headline is not the size of theweight loss. It is the word oral.Also this week:- A 112,000-patient ACP network meta-analysis that keeps semaglutide and tirzepatide on top for both weight loss and cardiovascular outcomes- A provocative real-world comparison of bariatric surgery versus semaglutide in fatty liver disease- The 2026 ADA Standards of Care, which make cardiovascular and kidney protection a co-primary goal alongside A1C- A Hormone Classic revisit of UKPDS that explains why that shift had to happenOne question runs through all of it: does this change Monday clinic?Chapters00:00 Cold open00:42 This week01:13 Trial of the Week: orforglipron (ATTAIN-2)04:29 Quick Hit: ACP weight-loss drug meta-analysis05:21 Quick Hit: surgery vs semaglutide (MASLD)06:21 Guideline & FDA Watch: 2026 ADA Standards07:27 Hormone Classics: UKPDS08:26 The Bottom Line08:57 Sign-offReferences and written summary: hormoneinsight.com/[slug]For healthcare professionals. Educational, not individual medical advice.Subscribe for a new episode every Saturday.#diabetes #endocrinology #GLP1 #obesity #ADA2026

Oral Ozempic Launch, Semaglutide for Alcohol Use Disorder (Lancet RCT), and Canada’s First Generic Semaglutide | Week Ending May 8, 2026This short Week in Diabetes and Endocrinology update covers three key developments for the week ending May 8, 2026: the nationwide U.S. launch of Oral Ozempic (rebranded/reformulated oral semaglutide tablets in 1.5, 4, and 9 mg with smaller pill size, same efficacy/safety, and cardiovascular risk-reduction labeling for adults with type 2 diabetes and established cardiovascular disease, plus pricing details and ongoing fasting administration requirements); a Lancet 26-week randomized trial in 108 adults with obesity and moderate-to-severe alcohol use disorder showing once-weekly semaglutide 2.4 mg added to CBT reduced heavy drinking days and total alcohol consumption with substantial weight loss, while noting it is not approved for AUD and was studied only in obese participants; and Health Canada’s approval of Apotex’s Apo-Semaglutide injection as the first Canadian-made generic Ozempic equivalent, signaling shifting global GLP-1 pricing and access.00:00 Weekly Headlines00:24 Oral Ozempic Launch00:59 Dosing Labeling Pricing01:45 Lancet AUD Trial02:29 What It Means Clinically03:02 Limits Next Trials03:33 Canada Generic Semaglutide04:08 Global Access Shift04:34 Wrap Up And Sign Off

This episode reviews key diabetes/endocrinology updates for the week ending May 1, 2026: FDA clearance of Tandem Control-IQ Plus automated insulin delivery for pregnancy in type 1 diabetes supported by the CIRCUIT trial showing improved pregnancy-specific time-in-range; a US cost-effectiveness analysis in type 2 diabetes finding tirzepatide 10 mg and 15 mg cost-effective vs semaglutide 2 mg (ICERs ≈$70,147 and ≈$54,699 per QALY); late-breaking AACE meeting signals across obesity (combination therapies), thyroid ultrasound findings, and access disparities; a meta-analysis showing dapagliflozin increases hemoglobin in CKD; why most hypoglycemia risk prediction models in type 2 diabetes aren’t clinic-ready; and a trial where a short calorie-restricted high-dose oat diet lowered zonulin and increased butyric acid in metabolic syndrome.00:00 Weekly Overview01:07 FDA AID Pregnancy04:14 Tirzepatide Value Math06:39 AACE Meeting Signals08:48 SGLT2 Anemia Boost11:23 Hypoglycemia Prediction Reality13:16 Oats Gut Barrier Pearl15:29 Wrap Up and Notes

The Week in Diabetes & Endocrinology — Episode 004 | April 24, 2026From Hormone Insight (hormoneinsight.com)Six stories this week that endocrinologists, diabetologists, and internists need to know.TIMESTAMPS:0:00 — Introduction & This Week's Stories1:15 — Tzield (Teplizumab) FDA Expanded to Age 1+ for Stage 2 Type 1 Diabetes5:30 — AACE 2026 Annual Meeting in Las Vegas: What's Worth Watching8:30 — Orforglipron ATTAIN-1 Subgroup: Consistent Weight Loss Across Every BMI12:00 — First Generic Dapagliflozin Arrives: Cost and Access Implications15:00 — GLP-1 Receptor Agonists and Erectile Dysfunction: Signal or Noise?18:00 — AACE Thyroid Ultrasound Finding: A New Clue for Indeterminate Nodules20:00 — Closing ThoughtsREFERENCES & SHOW NOTES:▸ Tzield (teplizumab-mzwv) sBLA FDA approval: https://www.sanofi.com/en/media-room/press-releases/2026/2026-04-22-05-05-00-3278650▸ AACE 2026 Annual Meeting, Las Vegas (April 22–24): https://pro.aace.com▸ Orforglipron ATTAIN-1 BMI subgroup (AACE 2026): https://www.endocrinologyadvisor.com/reports/orforglipron-weight-loss-bmi-categories/▸ First generic dapagliflozin FDA approval: https://www.fda.gov/drugs/drug-alerts-and-statements/fda-approves-first-generic-dapagliflozin-tablets▸ GLP-1 RA and erectile dysfunction target-trial emulation (eClinicalMedicine): https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(26)00104-5/fulltext▸ AACE thyroid ultrasound presentation (post-microcystic reflection in indeterminate nodules)ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals.▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP:▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl️ This content is intended for healthcare professionals. It does not constitute medical advice for patients.#Endocrinology #DiabetesResearch #Tzield #Teplizumab #Type1Diabetes #AACE2026 #Orforglipron #GLP1 #Dapagliflozin #Farxiga #SGLT2 #ErectileDysfunction #ThyroidNodule #Endocrinology #ObesityMedicine #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide #Semaglutide

The Week in Diabetes & Endocrinology — Episode 003 | April 17, 2026From Hormone Insight (hormoneinsight.com)Six stories this week that endocrinologists, diabetologists, and internists need to know.TIMESTAMPS:0:00 — Introduction & This Week's Stories1:15 — Automated Insulin Delivery in Type 2 Diabetes: A Landmark Trial Worth Unpacking5:30 — Enlicitide: The First Oral PCSK9 Inhibitor (CORALreef Lipids)9:30 — SCORED and Sotagliflozin: What the Trial Actually Tells Us12:30 — Semaglutide in Type 1 Diabetes + Obesity (NEJM Evidence)15:00 — Boehringer Ingelheim's Strategic Bet on Obesity + Liver Health16:30 — Chronotype-Aligned Exercise: Timing May Matter as Much as Training18:00 — Closing ThoughtsREFERENCES & SHOW NOTES:▸ AID in T2D (NEJM, 2IQP trial): https://doi.org/10.1056/NEJMoa2415948▸ Enlicitide CORALreef Lipids (Med): https://doi.org/10.1016/j.medj.2026.101097▸ CORALreef Lipids primary (NEJM): https://doi.org/10.1056/NEJMoa2511774▸ Semaglutide in T1D + obesity (NEJM Evidence): https://doi.org/10.1056/EVIDoa2500173▸ Chronotype-aligned exercise RCT (Open Heart): https://doi.org/10.1136/openhrt-2025-003573ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals.▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP:▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl️ This content is intended for healthcare professionals. It does not constitute medical advice for patients.#Endocrinology #DiabetesResearch #AutomatedInsulinDelivery #PCSK9 #Enlicitide #Sotagliflozin #SCORED #Semaglutide #Type1Diabetes #Survodutide #Obesity #MASH #Chronotype #Exercise #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide

The Week in Diabetes & Endocrinology — Episode 002 | April 10, 2026 From Hormone Insight (hormoneinsight.com) Six stories this week that endocrinologists, diabetologists, and internists need to know. TIMESTAMPS: 0:00 — Introduction & This Week's Stories 1:30 — EZ-PAVE: LDL Under 55 Beats Under 70 in ASCVD (NEJM) 7:00 — CMS BALANCE Model: Medicare Covers GLP-1 for Obesity 11:00 — GZR4: Second Once-Weekly Insulin Beats Glargine AND Degludec 14:00 — CagriSema NMA at ACC 2026: Best Efficacy AND Tolerability 16:30 — BP Variability Predicts Dementia in Type 2 Diabetes (ADVANCE) 19:00 — Blood-Flow Restriction Training Boosts Mitochondria in T2D 21:00 — Closing Thoughts REFERENCES & SHOW NOTES: ▸ EZ-PAVE (NEJM): https://doi.org/10.1056/NEJMoa2600283 ▸ CMS BALANCE Model: https://www.cms.gov/priorities/innovation/innovation-models/balance ▸ GZR4 SUPER trials: https://www.prnewswire.com/news-releases/gan--lee-pharmaceuticals-once-weekly-basal-insulin-gzr4-injection-meets-primary-endpoints-in-two-pivotal-phase-3-clinical-trials-super-1-and-super-2-302730104.html ▸ CagriSema NMA (DOM): https://doi.org/10.1111/dom.70667 ▸ ADVANCE BP variability (JAHA): https://doi.org/10.1161/JAHA.125.044061 ▸ BFRT in T2D (Cell Metab): https://doi.org/10.1016/j.cmet.2025.12.016 ABOUT THIS PODCAST: A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals. ▸ Website: https://hormoneinsight.com ▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP: ▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856 ▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl ️ This content is intended for healthcare professionals. It does not constitute medical advice for patients. #Endocrinology #DiabetesResearch #LDLcholesterol #EZPAVE #GLP1 #Medicare #CagriSema #WeeklyInsulin #GZR4 #BloodPressure #Dementia #BFRT #ObesityMedicine #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide #Semaglutide

The Week in Diabetes & Endocrinology — Episode 001 | April 3, 2026From Hormone Insight (hormoneinsight.com)Six stories this week that endocrinologists, diabetologists, and internists need to know.TIMESTAMPS:0:00 — Introduction & This Week's Stories1:30 — Orforglipron (Foundayo) FDA Approval: The Oral GLP-1 Pill — Access-Changer, Not Game-Changer7:00 — Semaglutide 7.2 mg (Wegovy HD): 21% Weight Loss, But Watch the Dysesthesia Signal11:30 — Insulin Icodec (Awiqli): Once-Weekly Insulin — Sounds Great Until You Think About Sick Days16:00 — SURPASS-CVOT Post-Hoc in JAMA Cardiology: Tirzepatide's Cardiorenal NNT of 2719:30 — AACE 2026 Type 2 Diabetes Algorithm Update21:30 — GLP-1 RAs in Parkinson's Disease: 5 RCTs, 708 Patients, No Signal24:00 — Closing ThoughtsREFERENCES & SHOW NOTES:▸ Orforglipron FDA approval: https://www.fda.gov/drugs/novel-drug-approvals-fda/novel-drug-approvals-2026▸ Wegovy HD FDA approval: https://www.fda.gov/news-events/press-announcements/fda-approves-fourth-product-under-national-priority-voucher-program-higher-dose-semaglutide▸ Awiqli FDA approval: https://www.prnewswire.com/news-releases/fda-approves-novo-nordisks-awiqli-the-first-and-only-once-weekly-basal-insulin-treatment-for-adults-with-type-2-diabetes-302726839.html▸ Nissen SE et al. JAMA Cardiol 2026 — SURPASS-CVOT cardiorenal post-hoc: https://doi.org/10.1001/jamacardio.2026.0767▸ Nicholls SJ et al. N Engl J Med 2025 — SURPASS-CVOT primary: https://doi.org/10.1056/NEJMoa2505928▸ AACE 2026 T2D Algorithm: https://www.sciencedirect.com/science/article/pii/S1530891X26000224▸ Raza H et al. Brain Behav 2026 — GLP-1 RAs in Parkinson's: https://doi.org/10.1002/brb3.71344ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals.▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast️ This content is intended for healthcare professionals. It does not constitute medical advice for patients.#Endocrinology #DiabetesResearch #GLP1 #Orforglipron #Foundayo #WegovyHD #Semaglutide #InsulinIcodec #Awiqli #Tirzepatide #SURPASSCVOT #ObesityMedicine #Type2Diabetes #ClinicalTrials #EvidenceBasedMedicine #MedicalPodcast #HormoneInsight #EndocrinologyPodcast #Diabetology #CME #MedTwitter #DoctorsOfYouTube #InternalMedicine #Cardiology #CardiometabolicHealth #WeeklyInsulin #OralGLP1 #ParkinsonsDisease #AACE #PhysicianEducation

In this episode of Hormone Insight, we examine a 2024 post hoc analysis published in Diabetes Care.