Clinical Articles — GLP-1 Research, Microdose Protocols, Longevity | Aurelius Health

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The Aurelius Journal

The research is public. We just make it readable.

Every compound in our protocols has a paper trail. These articles walk through the actual studies, rate the evidence honestly, and flag where the data is still being worked out. No cherry picked abstracts. No marketing language.

Featured Article

Tirzepatide and Fatty Liver: 10 Reasons the Liver Story Is the Quietest Big Result in the Trial Program

Tirzepatide cuts liver fat 40 to 60 percent and improves fibrosis biomarkers in MASLD and MASH. Here are 10 reasons the quiet liver result matters.

9 min read·June 2026Read article →

All Articles

Tirzepatide for Obstructive Sleep Apnea: 10 Reasons the SURMOUNT-OSA Result Changed the Treatment Picture
Sleep Health9 min read

Tirzepatide for Obstructive Sleep Apnea: 10 Reasons the SURMOUNT-OSA Result Changed the Treatment Picture

Zepbound became the first medication ever FDA approved for moderate to severe OSA in adults with obesity. Here are 10 reasons the SURMOUNT-OSA result changed treatment.

June 2026Read →
Tirzepatide and Your Lipid Panel: 10 Reasons the Triglyceride Drop Matters More Than the LDL Story
Cardiovascular8 min read

Tirzepatide and Your Lipid Panel: 10 Reasons the Triglyceride Drop Matters More Than the LDL Story

Tirzepatide drops triglycerides 15 to 30 percent, far more than its modest LDL effect. Here are 10 reasons the lipid changes matter for metabolic syndrome.

June 2026Read →
Tirzepatide and Body Composition: 10 Reasons the Scale Number Hides What Actually Changed
Weight Management9 min read

Tirzepatide and Body Composition: 10 Reasons the Scale Number Hides What Actually Changed

Tirzepatide averaged 20 to 22 percent bodyweight loss in SURMOUNT, but the composition underneath the scale, visceral fat and lean mass, decides whether it lasts.

June 2026Read →
Tirzepatide and HbA1c: 10 Reasons the Dual Agonist Produces the Largest Glycemic Drops Ever Measured
Diabetes9 min read

Tirzepatide and HbA1c: 10 Reasons the Dual Agonist Produces the Largest Glycemic Drops Ever Measured

Tirzepatide lowered HbA1c 1.9 to 2.6 points in the SURPASS trials, the largest drops ever for a non insulin medication. Here are 10 reasons the magnitude matters.

June 2026Read →
Tirzepatide and PCOS: 10 Reasons a Dual GLP-1/GIP Agonist Targets the Underlying Mechanism
Women's Health9 min read

Tirzepatide and PCOS: 10 Reasons a Dual GLP-1/GIP Agonist Targets the Underlying Mechanism

PCOS is a metabolic disorder of insulin resistance before it is a reproductive one. Here are 10 reasons tirzepatide targets the upstream driver, and the evidence limits.

June 2026Read →
Tirzepatide and Exercise: 10 Reasons Lifting Heavy Beats Cardio for Anyone on a GLP-1
Training9 min read

Tirzepatide and Exercise: 10 Reasons Lifting Heavy Beats Cardio for Anyone on a GLP-1

On tirzepatide the drug already creates the deficit, so the gym's real job is protecting muscle. Here are 10 reasons lifting heavy beats cardio on a GLP-1.

June 2026Read →
What to Eat on Tirzepatide: 10 Foods That Protect Muscle and Micronutrients
Nutrition8 min read

What to Eat on Tirzepatide: 10 Foods That Protect Muscle and Micronutrients

Tirzepatide suppresses appetite and slows gastric emptying, which makes protein and micronutrients harder to hit. Here are 10 foods that protect lean mass and energy.

June 2026Read →
Tirzepatide and Blood Pressure: 10 Reasons the BP Drop Is Larger Than the Weight Loss Alone Explains
Cardiovascular9 min read

Tirzepatide and Blood Pressure: 10 Reasons the BP Drop Is Larger Than the Weight Loss Alone Explains

Systolic BP drops 6 to 10 mmHg on tirzepatide — more than weight loss alone explains. Here are 10 reasons the BP reduction matters clinically.

June 2026Read →
Tirzepatide and Heart Health: 10 Cardiovascular Benefits the Trials Have Already Quantified
Cardiovascular8 min read

Tirzepatide and Heart Health: 10 Cardiovascular Benefits the Trials Have Already Quantified

Blood pressure, triglycerides, visceral fat, and HbA1c all improve measurably on tirzepatide. Here are 10 cardiovascular benefits backed by the trial data.

June 2026Read →
10 Reasons Women Over 40 Should Consider Microdose GLP-1 Before Full Dose
Women's Health8 min read

10 Reasons Women Over 40 Should Consider Microdose GLP-1 Before Full Dose

Why a gentler GLP-1 approach may be the smartest first step for women navigating perimenopause, hormonal shifts, and menopausal metabolic change.

June 2026Read →
10 Reasons Microdose GLP-1 Is Safer for Long-Term Use Than Standard Protocols
GLP-1 Research9 min read

10 Reasons Microdose GLP-1 Is Safer for Long-Term Use Than Standard Protocols

Published clinical data on tolerability, adherence, lean mass preservation, and why physician-supervised microdose protocols reduce long-term risk.

May 2026Read →
10 Reasons Your Brain Chemistry Changes on Microdose GLP-1
GLP-1 Research8 min read

10 Reasons Your Brain Chemistry Changes on Microdose GLP-1

Dopamine, BDNF, neuroinflammation, slow-wave sleep — a clinician's breakdown of what microdose GLP-1 does to the nervous system across 9 brain regions.

May 2026Read →
The Side Effects of Ozempic and Why Patients Are Quietly Switching to Microdose Protocols
GLP-1 Research9 min read

The Side Effects of Ozempic and Why Patients Are Quietly Switching to Microdose Protocols

Ten reasons patients are switching from full-dose Ozempic to microdose GLP-1 protocols, from nausea and muscle loss to rebound weight gain.

May 2026Read →
Reversing Prediabetes in Men: DPP Data, GLP-1 Evidence, and the Path Back
Men's Health7 min read

Reversing Prediabetes in Men: DPP Data, GLP-1 Evidence, and the Path Back

The DPP showed 58 percent T2D risk reduction from 7 percent weight loss. A 12-month protocol combining lifestyle and, for eligible men, GLP-1 to normalize A1C sustainably.

May 2026Read →
A1C 5.7 to 6.4: The Ten-Year Decision and What the GLP-1 Evidence Actually Shows
Metabolic Health8 min read

A1C 5.7 to 6.4: The Ten-Year Decision and What the GLP-1 Evidence Actually Shows

An A1C between 5.7 and 6.4 percent is a ten year fork. Here is what the DPP data, ADA guidance, and GLP-1 trials actually show about moving the number.

May 2026Read →
Weight Loss After Heart Attack: What the SELECT Trial Changed for Cardiac Rehab Graduates
Men's Health9 min read

Weight Loss After Heart Attack: What the SELECT Trial Changed for Cardiac Rehab Graduates

The SELECT trial showed semaglutide reduced cardiovascular events by 20% in post-cardiac patients with obesity. What that means for cardiac rehab graduates and how a protocol works.

May 2026Read →
TRT and GLP-1 Together: Why Testosterone Therapy Doesn't Move the Last 15 Pounds
Men's Health9 min read

TRT and GLP-1 Together: Why Testosterone Therapy Doesn't Move the Last 15 Pounds

TRT restores testosterone but rarely drives meaningful fat loss alone. The mechanism behind stubborn midsection fat on TRT and what adding GLP-1 actually changes.

May 2026Read →
Pregabalin Weight Gain: Why Lyrica Adds Pounds and What to Do Without Stopping
Men's Health8 min read

Pregabalin Weight Gain: Why Lyrica Adds Pounds and What to Do Without Stopping

Pregabalin drives weight gain in 11.4% of users via appetite increase and edema. The mechanism, the tradeoffs, and what works when the neuropathy medication cannot be stopped.

May 2026Read →
Surgical Menopause Weight Gain: Why It Happens Faster and What Is Different
Women's Health9 min read

Surgical Menopause Weight Gain: Why It Happens Faster and What Is Different

After BSO, weight accumulates up to 3x faster than natural menopause. The biology of abrupt estrogen loss, visceral fat preference, and what a weight protocol for this population should address.

April 2026Read →
Metoprolol Weight Gain in Men: The Mechanism and What to Do About It
Men's Health9 min read

Metoprolol Weight Gain in Men: The Mechanism and What to Do About It

Metoprolol can drive 2 to 5 kg per year of weight gain in roughly 26 percent of long term users. The mechanism, the trade offs, and a coordinated weight plan that runs alongside cardiac protection.

April 2026Read →
Beta Blockers and GLP-1: Can You Take Them Together? A Drug Interaction Guide
Drug Interactions9 min read

Beta Blockers and GLP-1: Can You Take Them Together? A Drug Interaction Guide

Beta blockers and GLP-1 medications can be taken together with specific coordination. The interaction profile, bradycardia and hypoglycemia risks, and how providers structure the protocol.

April 2026Read →
How Microdosing GLP-1 Differs from Standard Weight Loss Doses
GLP-1 Research8 min read

How Microdosing GLP-1 Differs from Standard Weight Loss Doses

Microdosing and standard dosing are different tools built around different goals. The evidence base is younger for microdosing but the clinical logic is coherent.

April 2026Read →
What the Latest GLP-1 Research Is Telling Us This Month
GLP-1 Research7 min read

What the Latest GLP-1 Research Is Telling Us This Month

Three April 2026 studies on GLP-1 resistance, genetic side effect predictors, and benefits beyond weight loss are reshaping how clinicians think about protocols.

April 2026Read →
GLP-1 and Testosterone: What the 53% Increase Means for Men Who Optimize
Men's Health9 min read

GLP-1 and Testosterone: What the 53% Increase Means for Men Who Optimize

A 2026 meta-analysis confirms GLP-1 receptor agonists significantly raise testosterone in men. Here is what the data shows and why the optimization community is paying attention.

April 2026Read →
GLP-1 and Sleep: How Receptor Activation Changes Your Sleep Architecture
Sleep & Recovery8 min read

GLP-1 and Sleep: How Receptor Activation Changes Your Sleep Architecture

GLP-1 receptors in the dorsomedial hypothalamus directly regulate circadian biology. Here is what the research shows about sleep quality, beyond the sleep apnea headlines.

April 2026Read →
GLP-1 and Muscle Loss: How to Preserve Lean Mass While Running a Protocol
GLP-1 Research7 min read

GLP-1 and Muscle Loss: How to Preserve Lean Mass While Running a Protocol

At full therapeutic doses, 25–40% of weight lost on GLP-1s can come from lean tissue. Here is the evidence based protocol for lean mass preservation.

April 2026Read →
GLP-1 and Heart Health: What the SELECT Trial Data Means If You're Not Overweight
GLP-1 Research8 min read

GLP-1 and Heart Health: What the SELECT Trial Data Means If You're Not Overweight

The SELECT trial found a 20% reduction in cardiovascular events on semaglutide, partially independent of weight loss. Here is what the cardiac mechanism means for non-obese users.

April 2026Read →
GLP-1 and Alcohol Cravings: The Neuroscience Behind Why Drinking Habits Change
GLP-1 Research8 min read

GLP-1 and Alcohol Cravings: The Neuroscience Behind Why Drinking Habits Change

GLP-1 receptors in the brain's reward circuit directly modulate dopamine signaling. Here is the neuroscience behind why alcohol cravings change on a GLP-1 protocol.

April 2026Read →
GLP-1 and Brain Fog: The Biology Behind Cognitive Symptoms and What Addresses Them
Women's Health8 min read

GLP-1 and Brain Fog: The Biology Behind Cognitive Symptoms and What Addresses Them

Brain fog is not vague — it has a documented biology. Here is what GLP-1 receptors in the hippocampus and cortex do to neuroinflammation, insulin signaling, and cognitive function.

April 2026Read →
GLP-1 and Insulin Sensitivity: What Microdosing Does for Metabolism
Metabolic Health7 min read

GLP-1 and Insulin Sensitivity: What Microdosing Does for Metabolism

Normal A1C does not mean optimal metabolism. Here is what GLP-1 receptor activation does to insulin sensitivity and glucose variability in people without diabetes.

April 2026Read →
GLP-1 and Longevity: What the Research Actually Shows (And Why Biohackers Are Paying Attention)
GLP-1 Research7 min read

GLP-1 and Longevity: What the Research Actually Shows (And Why Biohackers Are Paying Attention)

Researchers are now calling GLP-1s the first longevity drugs. Here is what the science actually shows about aging, healthspan, and why the biohacking community is paying attention.

April 2026Read →
Oral vs. Injectable GLP-1: What Women Need to Know Before Starting a Protocol
GLP-1 Research11 min read

Oral vs. Injectable GLP-1: What Women Need to Know Before Starting a Protocol

Injectable GLP-1 was built for clinical weight loss. Oral microdosed protocols use the same receptor mechanism at a fraction of the dose, with fewer side effects and no needle.

March 2026Read →
Microdosing semaglutide vs. the full dose: what is actually different?
GLP-1 Research8 min read

Microdosing semaglutide vs. the full dose: what is actually different?

Full-dose GLP-1 protocols were designed for T2D. The metabolic levers they pull are real. The side effect profile at therapeutic doses is also real. Here's what changes at a fraction of that dose.

March 2026Read →
GLP-1 for perimenopause: why women are choosing microdosed oral protocols over injections
Women's Health10 min read

GLP-1 for perimenopause: why women are choosing microdosed oral protocols over injections

Perimenopause isn't primarily a weight problem. It's a metabolic, hormonal, and neurological shift. Here's how microdosed oral GLP-1 addresses the mechanisms behind energy crashes, brain fog, and sleep disruption — without a needle.

March 2026Read →