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Major Study Links Common Gene Variants to GLP-1 Drug Weight Loss and Side Effects

Researchers say genetics explains only a small share of outcomes on these drugs.

Overview

  • A Nature study published Wednesday analyzed nearly 28,000 23andMe users taking GLP-1 weight-loss drugs such as semaglutide or tirzepatide.
  • One GLP1R variant (rs10305420) was tied to slightly greater weight loss, averaging about 1.7 extra pounds for one copy and just over 3 pounds for two.
  • A GIPR variant (rs1800437) predicted higher nausea and vomiting on tirzepatide, with a rare two-gene combination linked to about a 15-fold higher vomiting risk.
  • 23andMe released a GLP-1 “Weight Loss and Nausea” report inside its $499 Total Health service, which pairs results with clinician guidance.
  • Experts called the genetic effects modest, noted partial replication in the NIH All of Us database, and said non-genetic factors like drug choice, dose, duration, age, and sex shape results more.