
- Contagion, Summer 2026 Digital Edition
- Volume 11
- Issue 2
This Is the “Weight” Forward: GLP-1 Use in HIV Care
Here is a review of glucagon-like peptide-1 receptor agonist use in people with HIV.
People living with HIV (PLWH) face a myriad of risks for comorbidities, including metabolic complications, that extend goal therapeutic outcomes well beyond just maintaining viral suppression. The intersection of HIV infection, antiretroviral therapy (ART), and metabolic disease has created unique clinical challenges that demand preemptive innovative therapeutic approaches.1 Among emerging treatment options, glucagon-like peptide-1 (GLP-1) receptor agonists and dual GLP-1/glucose-dependent insulinotropic polypeptide (GIP) agonists have garnered increasing attention for their potential to address multiple metabolic complications. Although GLP-1 agonists, such as semaglutide, liraglutide, and tirzepatide (a dual GLP-1/GIP agonist), are FDA approved for several metabolic-related indications beyond adjunct diabetes mellitus treatment, such as reducing the risk of major adverse cardiovascular events and reducing further renal dysfunction for type 2 diabetes and obesity in the general population, their use in PLWH remains a promising yet evolving area of study.2,3
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