Evidence mapPaperPMID 42168641Full record

ReviewNature reviews. Endocrinology2026

Causes and consequences of discontinuation of GLP1RAs or tirzepatide.

Antonio Ceriello, Francesco Prattichizzo, Abdul Raouf Mastan Sheik Abdullah, Rosalba La Grotta, Cesare Celeste Berra, Barbara McGowan, Alicia Jenkins, Neale Cohen, Michael Albrecht Nauck, Giuseppina Tiziana Russo

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Antonio Ceriello *Polo Scientifico e Tecnologico, IRCCS MultiMedica, Milan, Italy. antonio.ceriello@multimedica.it.ORCID http://orcid.org/0000-0001-8122-3203
Francesco Prattichizzo *Polo Scientifico e Tecnologico, IRCCS MultiMedica, Milan, Italy.ORCID http://orcid.org/0000-0002-2959-2658
Abdul Raouf Mastan Sheik AbdullahDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0009-0008-1489-2018
Rosalba La GrottaPolo Scientifico e Tecnologico, IRCCS MultiMedica, Milan, Italy.
Cesare Celeste BerraDepartment of Endocrinology and Metabolic Diseases, IRCCS MultiMedica, Milan, Italy.
Barbara McGowanDepartment of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Alicia JenkinsBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-0583-3717
Neale CohenBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-4441-9511
Michael Albrecht NauckDiabetes, Endocrinology, Metabolism Section, Medical Department 1, St Josef-Hospital, Katholisches Klinikum Bochum gGmbH, Ruhr University Bochum, Bochum, Germany.ORCID http://orcid.org/0000-0002-5749-6954
Giuseppina Tiziana RussoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucagon-like peptide 1 (GLP1) receptor (GLP1R) agonists and tirzepatide, a dual GLP1R and glucose-dependent insulinotropic polypeptide receptor agonist, have become fundamental in managing type 2 diabetes mellitus (T2DM) and obesity due to their potent glycaemia-lowering and weight-lowering effects as well as their cardiovascular and renal benefits. However, data from the past 2 years suggest that real-world persistence on these drug classes is often suboptimal, with many people discontinuing these medications, even within their first year of therapy. Reasons for treatment discontinuation include, but are not limited to, gastrointestinal adverse effects, less-than-desired efficacy, high cost, and fear about uncommon or rare adverse effects. When treatment is discontinued, weight regain and the deterioration of multiple cardiometabolic risk factors are common. Repeated cycles of initiation, interruption and re-initiation of these drugs might induce body weight and HbA

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsTirzepatideHumansObesityTreatment InterruptionGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsTirzepatide

Identifiers

PMID42168641

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.