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EllieMD
11/05/2024
5 min read

GLP-1s have made a big splash in the news as treatments for obesity and Type 2 Diabetes. That’s great news for the many patients struggling with insulin insufficiency, diabetes and metabolic disorders, and chronic overweight or obesity conditions. However, these remarkable medications are showing great potential for treating so much more.

We’re learning that microdosing GLP-1s may improve wellness and longevity by stabilizing other health related issues in ways we’re just beginning to understand. 

 

What is Microdosing?

Microdosing GLP-1 receptor agonists, such as semaglutide or tirzepatide, means administering smaller doses than what’s on the manufacturer’s label. This is often called going “off-label.”

While the practice falls outside of the FDA-approval process, it’s not uncommon in the medical field. A well-known example is when BOTOX®, approved originally to treat migraines, was used as an anti-aging treatment to prevent wrinkles. Off-label medication usage is typically safe while under medical supervision. 

The microdosing GLP-1 approach has been adopted for many reasons, including:

  • Weight maintenance rather than loss
  • Side effect sensitivity
  • Expanded therapeutic range for patients who cannot tolerate standard doses
  • Broader applications for conditions beyond weight loss and diabetes

To date, semaglutide and tirzepatide are FDA-approved for the treatment of Type 2 Diabetes Mellitus and weight loss. Potential treatments for more conditions are under exploration, and therapeutic dosing guidance could be expanded.

The primary focus of microdosing GLP-1s remains on metabolic health and longevity to improve patients’ overall wellness. 

 

What Conditions Show Potential for Improvement with GLP-1 Receptor Agonists?

Studies are highlighting the broader application possibilities of microdosing semaglutide and tirzepatide or future GLP-1 receptor agonists. GLP-1 receptor agonists have showed benefits for conditions like:

  • Parkinson’s disease
  • Alzheimer’s disease
  • Depression
  • Chemical dependency
  • Fatty liver disease
  • Cardiovascular disease
  • Kidney disease
  • And more

The functional mechanisms range from improving glucose transport across the blood-brain barrier, inhibiting dopaminergic release in the brain’s reward centers, and improving and lipotoxicity through visceral fat reduction, which reduces the development of non-alcoholic fatty liver diseases.

Semaglutide has shown neuroprotective effects in studies to determine if the medication can treat patients diagnosed with dementia.

Additional studies have shown semaglutide, tirzepatide, and other GLP-1s to improve cardiovascular health by:

  • Lowering blood pressure and cholesterol
  • Improving blood flow and direct cardiovascular output
  • Reducing infarction size
  • Reducing inflammation in the vascular system
  • Slowing the progression of plaque

Even kidneys see improvements with GLP-1 treatment. Type 2 Diabetes can sometimes accelerate kidney function decline. As such, healthcare professionals monitor kidney health in diabetes patients carefully.

Studies of patients with Type 2 Diabetes with Chronic Kidney Disease using GLP-1 agonists showed reduced macroalbuminuria, a marker of kidney damage. Additional studies show a protective effect on the kidneys of patients with advanced diabetic kidney disease, slowing the need for dialysis in end stage kidney disease.

For kidney health, these medications:

  • Increase natriuresis and diuresis
  • Decrease oxidative stress and inflammation
  • Improve overall kidney health through better blood pressure, weight loss, and glucose control

 

How can Microdosing GLP-1s Affect the Aging Process?

Many of the above chronic conditions are known contributors to aging. Metabolic imbalance makes us increasingly sick as we advance in years. Microdosing tirzepatide and semaglutide show great promise in helping us keep metabolic balance for the best chance at health, wellness, and longevity.

But how does microdosing GLP-1s affect the aging process? 

Oxidative stress and chronic inflammation accelerate the aging process. Alongside improved chronic conditions, further studies show GLP-1s reduce oxidative stress and chronic inflammation. Microdosing semaglutide and tirzepatide may reduce inflammation and oxidative stress without sustained weight loss. Allowing microdosing GLP-1s without requiring a weight loss need opens the treatment up to a greater number of people who may benefit.

Microdosing GLP-1s also appears to enhance mitochondrial function by increasing the number and efficiency of mitochondrial cells. Mitochondrial cells enhance energy metabolism and reduce damage from free radicals, which contribute to aging. Reducing free radicals has long been a method of minimizing aging and achieving longevity.

Age-related damage happens at a cellular level. Research is rapidly developing to show that GLP-1s are capable of repairing cellular damage, increasing cellular stress resistance, and reducing inflammation in the body’s systems.

 

Who is a Candidate for Microdosing?

For people seeking a significant weight loss solution, we recommend our weight management program for tirzepatide or semaglutide rather than a microdosing schedule.

Candidates are:

  • People looking to decelerate the aging process and promote longevity, reduce oxidative stress and inflammation, improve mitochondrial cells, and balance their metabolic health.
  • Individuals who’ve reached their goal weight and desire a maintenance program to help with appetite control and satiety cues.
  • People with sensitivity to side effects at the medication’s standard dosages, who desire a more gradual path to weight reduction.
  • Individuals with metabolic dysfunction, such as prediabetes, PCOS, insulin resistance, or other hormone sensitive conditions which may require less than the standard doses for Type 2 Diabetes.
  • Those with family history of cardiovascular disease or cardiac health concerns who wish to lower blood pressure and reduce cholesterol.
  • Individuals interested in GLP-1s neuroprotective benefits, including the promising potential for reducing the risk of Alzheimer’s disease, dementia, and Parkinson’s disease.

 

How to Incorporate Microdosing GLP-1s into a Wellness and Longevity Routine

Microdosing GLP-1s is personalized to individuals, which could mean starting at ¼ to ½ the standard dose for these medications. 

A significant portion of microdosing tirzepatide or semaglutide involves working with your healthcare professional to determine the right dosage strength and titration speed that meets your medical needs without creating unwanted side effects. In this way, microdosing can be particularly effective.

At EllieMD, we advise you to follow your healthcare professional’s advice for managing your GLP-1 journey.

Microdosing GLP-1s may provide control and confidence to pursue wellness and longevity on your terms. With EllieMD and our pharmacy partners, you don’t need to reach an irreversible level of sickness to take charge of your health now. Explore our semaglutide longevity microdose and tirzepatide longevity microdose to learn how to get started on your path to wellness.

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