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Semaglutide reduces fat accumulation in the tongue: A randomized single-blind, pilot study
Abstract
Aim We evaluated the effect of the latest GLP-1 RA semaglutide on tongue fat storage in obese women. Design We conducted a randomized single-blind, pilot study. Methods Twenty-five obese women with polycystic ovary syndrome (PCOS) (33.7 ± 5.3 years, body mass index (BMI) 36.1 ± 3.9 kg/m2, mean ± SD) were randomized to semaglutide 1.0 mg or placebo for 16 weeks. We quantified tongue volume and its fat tissue and fat proportion by magnetic resonance imaging. Results Tongue fat tissue and fat proportion significantly reduced after semaglutide vs placebo (-1.94 ± 5.51 vs. + 3.12 ± 4.87 cm 3, p = 0.022, and -0.02 ± 0.07 vs. 0.04 ± 0.06, p = 0.010, respectively). Correlation analysis revealed that these reductions were associated with those in body weight, BMI and waist circumference (p = 0.010 for all). Conclusions This is the first study confirming the beneficial effect of semaglutide on tongue structure in obese women with PCOS. Further studies are needed to assess the clinical importance of such findings.
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In one study (n=25), semaglutide 1 mg once weekly compared to placebo over 16 weeks demonstrated greater weight loss with semaglutide (−5.2 kg versus +1.9 kg with placebo).
“One study (n = 25) compared semaglutide 1 mg OW to placebo over 16 weeks, demonstrating greater weight loss with semaglutide (− 5.2 kg versus + 1.9 kg with placebo) [167].”
From Precision obesity medicine: A phenotype-guided framework for pharmacologic therapy across the lifespan (2025) · cites this paper as [167]
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Metadata
- Authors
- Jensterle, M., Ferjan, S., Vovk, A., Battelino, T., Rizzo, M., & Janež, A.
- Affiliations
- University of Ljubljana (SI)
- University of Palermo (IT)
- Corresponding author
- Janež, Andrej
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2021-08
- Volume
- 178
- Pages
- 108935
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W3180621562
- Cited by
- 49
- References
- 16
- Citations by year
- 2026: 14 · 2025: 14 · 2024: 12 · 2023: 4 · 2022: 5
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
- Funders
- Javna Agencija za Raziskovalno Dejavnost RS (3-0298, 3-0343)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Pharmacology (medical) › Pharmacology and Obesity Treatment
- Keywords
- semaglutide, GLP-1 receptor agonists, tongue volume, obesity, polycystic ovary syndrome, women, body mass index, waist circumference, weight loss
- MeSH terms
- Semaglutide, Adult, Double-Blind Method, Glucagon-Like Peptides, Female, Humans, Obesity, Pilot Projects, Tongue, Single-Blind Method, Adiposity
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