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Can weight loss injections improve your heart health?

Can weight loss injections improve your heart health?

GLP-1 receptor agonists are weight loss medicines, but their benefits go beyond this. Research shows they can have wider benefits on heart health, and reduce the risk of heart failure, strokes, and blood clots.

Alexandra Cristina Cowell
Medically reviewed by
Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
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Reviewed on Dec 5, 2025. by Dr Alexandra Cristina Cowell Writer & Clinical Content Reviewer Next review due on Dec 5, 2028.
Alexandra Cristina

Last updated on Dec 16, 2025.

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  • Extra fat around organs can raise blood pressure, cause high cholesterol, and increase the risk of heart problems.
  • Losing weight reduces the workload on the heart, lowers blood pressure, and improves cholesterol levels.
  • GLP-1 medications can reduce inflammation, improve blood vessel function, and stabilise plaque in the arteries, lowering the risk of heart attacks.
  • Studies show GLP-1s can reduce cardiovascular events by around 14%.

How obesity affects heart health

Ectopic fat is the stored fat in and around the organs. It typically occurs in people with obesity when excess fat accumulates. This can put pressure on the heart and change its structure and function, leading to health problems.

Some ways obesity can affect heart health include:

High blood pressure

Ectopic fat around the kidneys causes inflammation and promotes insulin resistance. This leads to kidney dysfunction, which increases sodium content in the blood and, consequently, water retention. As a result, blood volume increases, which raises blood pressure.

High blood pressure puts a strain on the heart as it has to work harder to pump more blood around the body. Over time, this can lead to heart attacks and heart failure.

High cholesterol

A diet that’s high in fats, sugars, and salt can cause cholesterol to build up in the arteries, which could lead to heart attacks.

This can also cause the heart to have a challenging time pumping blood through the narrowed arteries, which further increases blood pressure.

Type 2 diabetes

Excess weight can lead to insulin resistance, a condition where the body doesn't respond to insulin well. This raises blood sugar levels, which can lead to type 2 diabetes.

Type 2 diabetes can cause plaque to build up in blood vessels, which restricts blood flow. High blood sugar levels can also raise blood pressure, contributing to cholesterol buildup, further increasing heart disease risk.

Higher risk of arrhythmias

Ectopic fat can cause structural changes to the heart muscles, called the myocardium. Due to the increased workload, the heart is forced to work harder, which thickens it. This can lead to an abnormal heart rhythm, irregular heart rate, and other heart-related issues.

How do weight loss injections improve heart health?

‘There are already several known benefits that weight loss injections like Wegovy and Mounjaro can have on heart health, and we seem to be discovering more all the time,’ says Dr Daniel Atkinson, Clinical Lead at Treated.

‘Lowering blood pressure and cholesterol, contributing towards stable heart rhythm, reducing diabetic plaque, and lowering inflammation are just some of the positive effects we know about. 

‘But when you also factor in the other changes people on weight loss treatment make, like exercising more and lowering alcohol consumption, then the benefits to heart health likely go even further.’

The indirect benefits (from losing weight)

Losing weight naturally lowers blood pressure and improves cholesterol levels. This is because the heart doesn't need to work hard to pump blood around your body.

Weight loss also reduces bad cholesterol (LDL) and increases good cholesterol, which decreases the overall risk of blood clots and heart disease.

Additionally, a healthier diet during weight loss can help decrease inflammation and reverse insulin resistance. This improves blood sugar control, enhances insulin sensitivity, and reduces the risk of type 2 diabetes. These changes further support heart health.

The direct benefits (from the medication itself)

Research shows that GLP-1s can have positive effects beyond what’s expected for weight loss. One study found that GLP-1s reduced the risk of cardiovascular events by 14% in patients with type 2 diabetes or pre-existing cardiovascular illness.  

Likewise, another study showed that semaglutide reduced cardiovascular events, such as heart failure, heart attack, and death related to obesity.  

Patients who lost more than 10% of their total body weight had the highest positive impact on their heart health.

These benefits weren't just limited to people with pre-existing heart conditions; even those with no history of heart issues saw significant improvement.

Here’s how GLP-1s can improve heart health:

  • Reduced inflammation. GLP-1s can directly reduce inflammation by promoting anti-inflammatory molecules and indirectly by weight loss. This helps improve cardiac function.
  • Improved blood vessel function. GLP-1 can enhance endothelial function, which is the ability of blood vessels to relax and maintain healthy blood flow. It does this by promoting the release of nitric oxide, a chemical that signals blood vessels to widen. When blood vessels relax, blood flows more smoothly, which can help lower blood pressure.
  • Promote plaque stability. Plaque buildup increases heart attack risk and raises blood pressure. GLP-1s can reduce plaque formation and make plaques more stable. This can reduce the likelihood of harmful blood clots that can have a limiting effect on oxygen flow to the brain.

Do weight loss injections have heart health risks?

Overall, GLP-1s seem to have positive effects on heart health. When you start treatment with a GLP-1, there’s a slight chance your heart rate will increase, but this shouldn’t affect your health. It’s only a serious risk if you have the following conditions:

  • Uncontrolled arrhythmia (abnormal heart rhythm)
  • Severe heart failure
  • Tachycardia (high resting heart rate)

Other potential health risks are mainly gastrointestinal, like nausea, diarrhoea, vomiting, and stomach cramps. These should subside as your body adjusts to the medicine.

Your clinician will make sure weight loss treatment is safe for you by checking your medical history. They’ll also closely monitor you during the entire treatment process.

Is weight loss treatment right for you?

A clinician can help you to learn more about the heart benefits of GLP-1 treatment, and if they’re safe for you. They’re usually recommended for people with a BMI over 30, or 27 with weight-related health conditions like type 2 diabetes or heart issues, who haven’t been able to lose weight with lifestyle adjustments alone.

If you’re looking to lose weight, our online consultation can help you to find out if treatment is suitable for you.

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