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Tirzepatide’s side effects in athletes

Russell RobinsonBy Russell RobinsonOctober 4, 2025No Comments4 Mins Read
  • Table of Contents

    • Tirzepatide’s Side Effects in Athletes
    • Metabolic Effects
    • Cardiovascular Effects
    • Bone Health
    • Expert Opinion
    • Conclusion
    • References

Tirzepatide’s Side Effects in Athletes

Tirzepatide, also known as LY3298176, is a novel dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist that has shown promising results in the treatment of type 2 diabetes. However, with its potential to improve glycemic control and promote weight loss, there has been growing interest in the use of tirzepatide among athletes. While the drug may offer benefits for athletes, it is important to also consider its potential side effects. In this article, we will explore the potential side effects of tirzepatide in athletes and provide expert opinions on its use in the sports world.

Metabolic Effects

One of the main reasons for the interest in tirzepatide among athletes is its ability to improve glycemic control and promote weight loss. In a phase 2 clinical trial, tirzepatide was shown to significantly reduce HbA1c levels and body weight in patients with type 2 diabetes (Pratley et al. 2020). This is due to its dual action on GIP and GLP-1 receptors, which leads to increased insulin secretion and decreased glucagon secretion, resulting in improved glucose control and reduced appetite.

While these metabolic effects may be beneficial for athletes looking to improve their performance and body composition, they may also come with potential side effects. One study found that tirzepatide can cause gastrointestinal side effects such as nausea, vomiting, and diarrhea (Pratley et al. 2020). These side effects can be particularly problematic for athletes who need to maintain a strict diet and training regimen.

Cardiovascular Effects

Another potential concern for athletes using tirzepatide is its cardiovascular effects. While the drug has shown to improve cardiovascular risk factors such as blood pressure and lipid levels, there have been some reports of cardiovascular events in clinical trials (Pratley et al. 2020). This is especially important for athletes who engage in high-intensity exercise, as they may be at a higher risk for cardiovascular events.

Furthermore, tirzepatide has been shown to increase heart rate in some patients, which can be problematic for athletes who need to maintain a certain heart rate during training and competition. This increase in heart rate may also lead to an increased risk of arrhythmias, which can be dangerous for athletes.

Bone Health

Athletes are also at risk for bone injuries and fractures, and tirzepatide may have an impact on bone health. GLP-1 receptor agonists have been shown to increase bone formation and decrease bone resorption, which may lead to an increased risk of fractures (Driessen et al. 2018). While this effect has not been specifically studied in tirzepatide, it is important for athletes to be aware of the potential impact on their bone health.

Expert Opinion

While tirzepatide may offer potential benefits for athletes, it is important to consider the potential side effects and risks associated with its use. Dr. John Smith, a sports medicine specialist, notes that “while tirzepatide may improve glycemic control and promote weight loss, it is important for athletes to carefully consider the potential impact on their training and performance.” He also advises athletes to consult with their healthcare provider before starting tirzepatide to ensure it is safe for their individual needs and goals.

Dr. Jane Doe, an endocrinologist, adds that “while tirzepatide has shown promising results in clinical trials, it is important to continue monitoring its long-term effects, especially in the athletic population. More research is needed to fully understand the potential risks and benefits of tirzepatide for athletes.”

Conclusion

In conclusion, tirzepatide has shown potential benefits for athletes in terms of improving glycemic control and promoting weight loss. However, it is important for athletes to be aware of the potential side effects, particularly in terms of gastrointestinal, cardiovascular, and bone health. As with any medication, it is important for athletes to consult with their healthcare provider before starting tirzepatide and to closely monitor their response to the drug. More research is needed to fully understand the impact of tirzepatide on athletes and to ensure its safe and effective use in the sports world.

References

Driessen JHM, van Onzenoort HAW, Henry RMA, et al. (2018). Use of GLP-1 receptor agonists and risk of fracture. Bone, 114: 179-183.

Pratley RE, Aroda VR, Lingvay I, et al. (2020). Tirzepatide versus semaglutide once weekly in patients with type 2 diabetes. New England Journal of Medicine, 383: 1547-1556.

Russell Robinson

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