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Peer-Reviewed Publication
NPJ Cardiovasc Health2026July 10, 2026Journal Article

Semaglutide cardiovascular outcomes align more closely with attained dose than achieved weight loss.

Karthik Murugadoss1,2, A J Venkatakrishnan1,2, Christopher J Gregg1, Venky Soundararajan3,4
1nference, Cambridge, MA, USA.
2Metabolism Agentic Intelligence Atlas (MAIA), Cambridge, MA, USA.
3nference, Cambridge, MA, USA. venky@nference.net.
4Metabolism Agentic Intelligence Atlas (MAIA), Cambridge, MA, USA. venky@nference.net.

Abstract

Semaglutide is often optimized to maximize weight loss, yet it remains unclear whether long-term cardiovascular benefit is more closely associated with achieved weight reduction or therapeutic exposure. We conducted a retrospective observational study using a federated, de-identified U.S. electronic health record network comprising 47,199 patients with pre-existing cardiovascular disease who initi…

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