Type 2 & other diabetes

Pharmacological intervention: Challenges and promising outcomes for fat loss and preservation of lean body mass in the treatment of overweight and type 2 diabetes

Diabetes Obes MetabPublished Literature review

Authors' conclusion

Pharmacological adjunct therapies show potential for improving body composition and physical function during GLP-1 RA-induced weight loss.

Study context

Population
Individuals with overweight and T2D treated with GLP-1 RAs; preclinical and clinical studies of compounds with documented anabolic effects and established safety profiles
Comparison
Pharmacological adjunct therapies to preserve or increase lean body mass (LBM) during GLP-1 RA-induced weight loss
Outcome
Changes in LBM, fat mass (FM), physical function, and adverse events
Methodological detailspreclinical and clinical studies, Sources: PubMed, JAMA, Wiley, ResearchGate, The Royal Danish Library, ClinicalTrials.gov
  • Preclinical and clinical studies
  • Sources: PubMed, JAMA, Wiley, ResearchGate, The Royal Danish Library, ClinicalTrials.gov

Main finding

As reported in the abstract

LBM, FM and physical function
  • Activin II receptor inhibition with bimagrumab: significant preservation and increases in LBM, with fat mass (FM) reduction, in preclinical and phase 2 studies in overweight and T2D
  • Similar effects with myostatin and activin A inhibitors (trevogrumab, garetosmab), latent myostatin inhibitors (apitegromab, SRK-439) and SARMs (enobosarm)
  • Enobosarm also improved physical function

Safety

Adverse events generally mild and reversible; long-term data limited

Original publication

Pharmacological intervention: Challenges and promising outcomes for fat loss and preservation of lean body mass in the treatment of overweight and type 2 diabetes. Diabetes Obes Metab. Published 3 November 2025. doi:10.1111/dom.70229

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