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23andMe Study Ties Common Gene Variants to GLP-1 Weight-Loss Response and Side Effects

Experts say the effects are modest, not ready to shape everyday prescribing.

Overview

  • The Nature paper, published Wednesday, analyzed data from 27,885 23andMe customers who self-reported GLP-1 drug use, weight change, and side effects.
  • A common GLP1R variant (rs10305420) was tied to slightly greater weight loss on GLP-1 drugs, about 0.76 kilograms per copy in the study.
  • A GIPR variant (rs1800437) predicted higher odds of nausea and vomiting with tirzepatide but showed no such link with semaglutide.
  • 23andMe is packaging the findings into a Total Health report with an interactive tool that estimates weight loss and nausea risk using genetics plus age and health factors.
  • Outside experts praised the proof of concept but stressed that effects are small, the dataset skews toward European ancestry with self-reported outcomes, and prospective replication is needed before clinical use.