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Safety Management of Incretin-Based Obesity Therapy: Expert Consensus on the Use of Semaglutide and Tirzepatide

https://doi.org/10.14341/probl13784

Abstract

On December 3, 2025, a meeting of the expert working group was held in Moscow. The discussion focused on the safety and personalized use of tirzepatide (Tirzetta®) and semaglutide (Velgia® eco) in patients with overweight and obesity. Following the meeting, a consensus position was developed on the optimal use of incretin receptor agonists in real-world clinical practice.

About the Authors

E. A. Troshina
Endocrinology Research Centre
Russian Federation

Ekaterina A. Troshina, MD, PhD, professor

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



M. B. Antsiferov
Endocrinological Dispensary
Russian Federation

Mikhail B. Antsiferov, MD, PhD

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



A. S. Ametov
Russian Medical Academy of Continuing Professional Education
Russian Federation

Alexander S. Ametov, MD, PhD, Professor

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



I. G. Bakulin
St. Petersburg State University
Russian Federation

Igor G. Bakulin, MD, PhD, Professor

St. Petersburg


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



G. R. Galstyan
Endocrinology Research Centre
Russian Federation

Gagik R. Galstyan, MD, PhD, Professor

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



T. N. Markova
Russian University of Medicine
Russian Federation

Tatyana N. Markova, MD, PhD, Professor

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



T. I. Romantsova
Russian Medical Academy of Continuing Professional Education
Russian Federation

Tatiana I. Romantsova, MD, PhD, professor

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



N. V. Mazurina
Endocrinology Research Centre
Russian Federation

Natalya V. Mazurina, MD, PhD

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



O. M. Koteshkova
Endocrinological Dispensary
Russian Federation

Olga M. Koteshkova, MD, PhD

Moscow


Competing Interests:

Авторы декларируют отсутствие конфликта интересов.



References

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Review

For citations:


Troshina E.A., Antsiferov M.B., Ametov A.S., Bakulin I.G., Galstyan G.R., Markova T.N., Romantsova T.I., Mazurina N.V., Koteshkova O.M. Safety Management of Incretin-Based Obesity Therapy: Expert Consensus on the Use of Semaglutide and Tirzepatide. Problems of Endocrinology. (In Russ.) https://doi.org/10.14341/probl13784

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ISSN 0375-9660 (Print)
ISSN 2308-1430 (Online)