Obesity

Real‐World Effectiveness and Safety of GLP ‐1 Receptor Agonists Among Patients With Weight Recurrence After Bariatric Surgery

Obesity (Silver Spring)Published Retrospective cohort study

Authors' conclusion

Among adults with post-MBS weight recurrence, GLP-1 RAs were associated with greater weight loss without increased adverse events.

Study context

Population
Adults with ≥ 10% weight recurrence after metabolic and bariatric surgery (MBS), OneFlorida+ Data Trust (2015–2024)
Exposure
GLP-1 RA users vs non-users
Outcome
Percentage of recurrent weight lost [(index weight - follow-up weight) ÷ (index weight - nadir weight) × 100]
Follow-up
6 and 12 months
Methodological detailsnew-user design, matched on BMI and timing of clinical encounter, inverse probability of treatment weighting
  • New-user design
  • Matched on BMI and timing of clinical encounter
  • Inverse probability of treatment weighting

Main finding

As reported in the abstract

Percentage of recurrent weight lost · 6 months

P = 0.005

Observational data: associations, not effects.

Further findings

Percentage of recurrent weight lost · 12 months

P = 0.017

  • Percentage of recurrent weight lost: 72 users and 139 non-users included at 12 months

Safety

Gastrointestinal and post-MBS adverse events · 6 and 12 months

No increased risk of adverse events at either time point

Original publication

Real‐World Effectiveness and Safety of GLP ‐1 Receptor Agonists Among Patients With Weight Recurrence After Bariatric Surgery. Obesity (Silver Spring). Published 25 August 2026. doi:10.1002/oby.70280

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