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Peer-Reviewed Publication
NPJ Metab Health Dis2026;4(1)September 1, 2026Journal Article

Higher semaglutide dose is associated with lower neuropsychiatric event incidence independent of weight loss.

Karthik Murugadoss1,2, A J Venkatakrishnan1,2, Venky Soundararajan3,4
1nference, 1 Main Street, East Arcade Building, Cambridge, Massachusetts, MA, USA.
2Metabolism Agentic Intelligence Atlas (MAIA), Cambridge, Massachusetts, MA, USA.
3nference, 1 Main Street, East Arcade Building, Cambridge, Massachusetts, MA, USA. venky@nference.net.
4Metabolism Agentic Intelligence Atlas (MAIA), Cambridge, Massachusetts, MA, USA. venky@nference.net.

Abstract

GLP1 receptor agonists (GLP-1RAs) have transformed obesity treatment, but their impact on neuropsychiatric outcomes remains poorly understood. We conducted an observational study of 63,215 patients with preexisting neuropsychiatric conditions and evaluated 24 incident neuropsychiatric outcomes following treatment initiation. In propensity-matched analyses, semaglutide was associated with broadly l…

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