Ziyad Al-Aly MD's Avatar

Ziyad Al-Aly MD

@zalaly.bsky.social

Physician | Scientist | working on Long Covid

17,380 Followers  |  1 Following  |  27 Posts  |  Joined: 19.10.2024
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Posts by Ziyad Al-Aly MD (@zalaly.bsky.social)

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Postdoctoral Fellow - St. Louis, MO 63106 - Indeed.com Veterans Research and Education Foundation of St. Louis

Please help us spread the word.

We are hiring postdoctoral fellows in Clinical Epidemiology and Pharmacoepidemiology.

Details and application via Indeed.

15.01.2026 15:55 โ€” ๐Ÿ‘ 13    ๐Ÿ” 13    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1
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Honored to speak at Harvardโ€™s Radcliffe Institute workshop on #LongCOVID. I am energized by our 2 days of brainstorming about the road ahead. The challenges are real, but Iโ€™m leaving hopeful. Millions living with Long Covid are counting on our progressโ€”we must keep keep pushing forward!!!

29.04.2025 21:58 โ€” ๐Ÿ‘ 152    ๐Ÿ” 18    ๐Ÿ’ฌ 11    ๐Ÿ“Œ 2
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Ozempic Could Crush the Junk Food Industry. But It Is Fighting Back. As revolutionary new weight-loss drugs turn consumers off ultraprocessed foods, the industry is on the hunt for new products.

This story gets wilder. One of the researchers who is helping design this new generation of addictive foods is on GLP-1!!!

Wild but true.
buff.ly/40QHDnk

10.02.2025 20:56 โ€” ๐Ÿ‘ 47    ๐Ÿ” 9    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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Ozempic Could Crush the Junk Food Industry. But It Is Fighting Back. As revolutionary new weight-loss drugs turn consumers off ultraprocessed foods, the industry is on the hunt for new products.

For decades, the junk food industry has deliberately engineered foods to be addictive. GLP-1 drugs have helped people break free from this cycle. The industry is now searching for ways to undo the effects of these meds, aiming to design foods that remain addictive for those on GLP1. buff.ly/40QHDnk

10.02.2025 20:56 โ€” ๐Ÿ‘ 128    ๐Ÿ” 58    ๐Ÿ’ฌ 7    ๐Ÿ“Œ 2
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemicโ€ฆ

GLP-1 drugs are revolutionizing the way we think about obesity. It is a chronic disease (like high blood pressure), and might actually be a form of food addiction. One reason these drugs are so effective in treating obesity could be that they address the underlying addiction.

03.02.2025 17:43 โ€” ๐Ÿ‘ 49    ๐Ÿ” 12    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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New Long Covid policy paper from Norway outlines knowledge gaps and lessons learnt for developing preparedness for future pandemics.

Section 5 (pictured below) outlines their recommendations. Led by Sara Illman, PhD and colleagues.

www.nordforsk.org/2025/knowled...

03.02.2025 16:35 โ€” ๐Ÿ‘ 95    ๐Ÿ” 30    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 2
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Alzheimer, addictions, dรฉpressionโ€ฆ les effets bรฉnรฉfiques de lโ€™Ozempic et des mรฉdicaments apparentรฉs Les mรฉdicaments GLP-1 sont efficaces pour traiter le diabรจte et lโ€™obรฉsitรฉ. Ils pourraient lโ€™รชtre aussi pour lutter contre de nombreuses autres affections. Nรฉanmoins, des effets indรฉsirables existent.

Alzheimer, addictions, dรฉpressionโ€ฆ les effets bรฉnรฉfiques de lโ€™Ozempic et des mรฉdicaments apparentรฉs

My Ozempic piece has been translated into French; thanks the amazing team at Conversation in Paris. @theconversation.com @france.theconversation.com

theconversation.com/alzheimer-ad...

02.02.2025 14:51 โ€” ๐Ÿ‘ 24    ๐Ÿ” 6    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Could Ozempic Protect Against Alzheimerโ€™s? Could a diabetes and weight loss drug benefit the brain? Hereโ€™s what scientists are learning.

I talked to Dani Blum from @nytimes.com about the potential role of GLP-1 drugs (Ozepmic and similar drugs) on Alzheimerโ€™s disease.

They seem promising, but more data is needed.

www.nytimes.com/2025/01/31/w...

31.01.2025 20:02 โ€” ๐Ÿ‘ 26    ๐Ÿ” 3    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0
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Ozempic and similar weight loss drugs may lower risk of 42 health conditions, but also pose risks Research shows that people who take these weight-loss medications may have a lower risk of dementia and numerous other health conditions.

@us.theconversation.com piece here:

theconversation.com/ozempic-and-...

30.01.2025 02:30 โ€” ๐Ÿ‘ 11    ๐Ÿ” 2    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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Unpacking the Benefits and Risks of the Popular GLP-1 Weight Loss Drugs Our latest research, published in Nature Medicine, comprehensively maps the benefits and risks of GLP-1 receptor agonists (e.g., Ozempic, Wegovy, Mounjaro, Zepbound) across 175 health conditions in ov...

Substack here:

ziyadalaly.substack.com/p/unpacking-...

30.01.2025 02:30 โ€” ๐Ÿ‘ 14    ๐Ÿ” 1    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

๐Ÿšจ ICYMI: Our latest study shows that the popular GLP-1 weight loss drugs (e.g. Ozempic) have broad health benefits โ€” reducing risks of 42 health conditions. They are not without risks โ€” increasing risks of of 19 health conditions.

www.nature.com/articles/s41...

30.01.2025 02:30 โ€” ๐Ÿ‘ 55    ๐Ÿ” 13    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists Nature Medicine - An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other...

๐Ÿ“„ Free access to the full study: rdcu.be/d6VYU

New from my team: In a study of over 2 million people, we comprehensively mapped the benefits and risks of GLP-1 (e.g. Ozempic and similar weight loss drugs) across 175 health conditions.

Please share and download before it goes back behind paywall.

22.01.2025 19:22 โ€” ๐Ÿ‘ 66    ๐Ÿ” 19    ๐Ÿ’ฌ 5    ๐Ÿ“Œ 3

Happy to do it. Reach out by email please (Gmail).

20.01.2025 20:57 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Study identifies benefits, risks linked to popular weight-loss drugs | WashU Medicine GLP-1 medications tied to decreased risk of dementia, addiction; increased risk of kidney, pancreas and gastrointestinal problems

Thanks to Kristina Sauerwein for the press release and Abeeha Shamshad and Jessica Church for media outreach

Thanks to our reviewers, editors and all those supported us.

Link to press release medicine.washu.edu/news/study-i...

20.01.2025 20:52 โ€” ๐Ÿ‘ 18    ๐Ÿ” 2    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

A lot of people who would benefit from GLP1 are not able to access them due to cost. Access issues to these meds should be solved.

www.nature.com/articles/s41...

20.01.2025 20:50 โ€” ๐Ÿ‘ 23    ๐Ÿ” 2    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

While I am enthusiastic about the potential for GLP1 meds in helping address the obesity epidemic, prevention must remain the foundation of our approach to health and well-being.

www.nature.com/articles/s41...

20.01.2025 20:50 โ€” ๐Ÿ‘ 11    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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The beneficial effects on many conditions (e.g. Alzheimerโ€™s) may implicate GLP1 in their mechanisms โ€“ and open new therapeutic avenues (e.g. GLP1 could play a role in mechanism of Alzheimerโ€™s and may be effective treatments)

www.nature.com/articles/s41...

20.01.2025 20:50 โ€” ๐Ÿ‘ 19    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

c. I am struck by the consistent effect on addiction disorders โ€“ it elevates the likelihood that obesity itself is a form of addiction to food (in excess of caloric need) and that addressing it effectively requires drugs that work on that pathway.

www.nature.com/articles/s41...

20.01.2025 20:49 โ€” ๐Ÿ‘ 35    ๐Ÿ” 5    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 2
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

Some thoughts:

a. Obesity is a chronic disease โ€“ it is not lack of willpower
b. Treating obesity itself โ€“ likely has many downstream benefits beyond just weight loss

www.nature.com/articles/s41...

20.01.2025 20:48 โ€” ๐Ÿ‘ 25    ๐Ÿ” 2    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0
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GLP1 increased risks of gastrointestinal disorders, hypotension, syncope, arthritic disorders,
nephrolithiasis, interstitial nephritis and drug-induced pancreatitis.

20.01.2025 20:47 โ€” ๐Ÿ‘ 20    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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GLP1 reduced risks of substance use and psychotic disorders,
seizures, neurocognitive disorders (including Alzheimerโ€™s disease and dementia), coagulation disorders, cardiometabolic disorders, infectious
illnesses and several respiratory conditions.

20.01.2025 20:47 โ€” ๐Ÿ‘ 20    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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The results show that GLP1 have a wide-ranging beneficial profile but are not without risks.

GLP1 meds were associated with reduced risk of 42 (24%) outcomes and increased risk of 19 outcomes (11%).

www.nature.com/articles/s41...

20.01.2025 20:45 โ€” ๐Ÿ‘ 17    ๐Ÿ” 3    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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We included several controls - people on sulfonylureas, DPP4 inhibitors, SGLT2 inhibitors and people on usual care who did not start GLP1
We followed study participants for 3.7 years
www.nature.com/articles/s41...

20.01.2025 20:44 โ€” ๐Ÿ‘ 15    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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So, we decided to do the comprehensive study!

We did a discovery analysis which comprehensively examined 175 possible health outcomes (leaving no stone unturned) in 215,970 people on GLP1 and more than 2 million individuals not on GLP1.

www.nature.com/articles/s41...

20.01.2025 20:43 โ€” ๐Ÿ‘ 16    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

Why we did this study?

We saw that GLP1 use has substantially increased, and reports started to emerge about off-target beneficial effects. But realized that no one had comprehensively investigated effectiveness and risks of GLP-1 across all possible health outcomes

www.nature.com/articles/s41...

20.01.2025 20:42 โ€” ๐Ÿ‘ 16    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Mapping the effectiveness and risks of GLP-1 receptor agonists - Nature Medicine An atlas of the associations between the use of GLP-1 receptor agonists (GLP-1RAs) and 175 health outcomes reports the effectiveness and risks of GLP-1RAs compared with other antihyperglycemic medicat...

The latest from my team in Nature Medicine.

We comprehensively mapped the benefits and risks of GLP-1 receptor agonists (GLP-1) (Ozempic, Wegovy, Mounjaro, Zepbound).

By @Biostayan, Taeyoung Choi and me

A ๐Ÿงต
www.nature.com/articles/s41...

20.01.2025 20:41 โ€” ๐Ÿ‘ 214    ๐Ÿ” 59    ๐Ÿ’ฌ 15    ๐Ÿ“Œ 9
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Long COVID science, research and policy - Nature Medicine This Review outlines the current state of scientific evidence on long COVID, discusses its impacts on patients, health systems, economies and global health metrics, and proposes a forward-looking rese...

My first post has to be about #LongCOVID

๐Ÿ”น 400 million individuals affected worldwide
๐Ÿ”น $1 trillion in annual economic costs
๐Ÿ”น Countless lives & communities shattered

The time for a comprehensive policy and research response is now!

Details in our review here www.nature.com/articles/s41...

19.10.2024 17:49 โ€” ๐Ÿ‘ 1623    ๐Ÿ” 700    ๐Ÿ’ฌ 107    ๐Ÿ“Œ 57