Friday, October 30, 2026 ยท WOMEN'S EDITION
LongevityMorning
What's new in feeling better and living longer. 5-minute read.
Good morning. Today: a next-gen weight-loss drug went head to head with Ozempic, a simple wall exercise tied to lower blood pressure, and a deep dive on a huge study of menopause.
01 ยท GLP-1s ยท WEIGHT LOSS
Retatrutide doubled Ozempic's weight loss in a head-to-head trial
In an 80-week Phase 3 trial of 1,298 adults with type 2 diabetes, Eli Lilly's experimental drug retatrutide led to 19.5% to 20.9% weight loss vs. 9.4% on the highest diabetes dose of semaglutide (Ozempic), Lilly announced Oct. 28.
Why it matters: Retatrutide, a weekly injection that acts on three hormone receptors (GIP, GLP-1 and glucagon), isn't FDA-approved but has drawn wide interest, including on the gray market. This is its first Phase 3 trial against another drug in its class.
The details: Both retatrutide doses cut A1C by 2.2 points from an average of 8.3%, vs. 1.8 points with semaglutide. Starting weight averaged about 226 lb, so that's roughly 44 to 47 lb lost on retatrutide vs. 21 lb on semaglutide. Non-HDL cholesterol, triglycerides and systolic blood pressure also improved more on retatrutide.
Yes, but: These are topline results from the drugmaker, not yet peer reviewed, and the trial was open-label. Quitting due to side effects was more common on retatrutide (4.8% and 7.9%) than semaglutide (2.7%), and stomach side effects were most common in all groups. No approval timeline was given. Talk to your doctor.
Source: AJMC
02 ยท TRAINING ยท HEART HEALTH
Wall squats lowered blood pressure, but the gains faded when people stopped
In a randomized trial of 100 adults, a four-week home wall-squat program lowered blood pressure, and those who kept it up three times a week finished eight weeks with systolic pressure 13.73 mmHg lower on average.
Why it matters: Wall squats are an isometric exercise that needs no equipment, and the study tested how often people had to keep going to hold on to the effect.
The details: Participants averaged 37.4 years old, had normal to high-normal blood pressure and weren't on blood pressure medication. After four weeks of training, groups continued three, two or one times a week, or stopped. Systolic pressure ended 6.95 mmHg lower than at the start in the twice-weekly group and 6.56 mmHg lower in the once-weekly group. Published in BMJ Open Sport & Exercise Medicine.
Yes, but: In the group that stopped, the improvements reversed and were no different from the control group by the end. The maintenance phase lasted only four weeks, and the researchers said longer studies are needed. The summary didn't report funding or a breakdown by sex.
03 ยท DEEP DIVE ยท MENOPAUSE
A study of 1 million women found abrupt body changes at menopause
Analyzing more than 300 million lab tests from over 1 million women in the U.S. and Israel from 1999 to 2024, researchers found that 52 of 90 lab measures shifted abruptly around the final menstrual period, in a study published Oct. 12 in Nature Medicine.
Why it matters: Menopause is often described as a gradual transition, and this widely covered study suggests changes in bone, liver and blood-fat markers cluster sharply around the last period.
The details: The team, led by Glen Pridham of Israel's Weizmann Institute, used a computational method to separate chronological age from reproductive timing. Anti-Mรผllerian hormone and estradiol began falling rapidly about 15 and 12 years before the final period, and FSH began rising faster about 14 years before. Men didn't show similar abrupt shifts. Menopausal hormone therapy was associated with smaller changes in many measures, especially bone, liver and kidney function.
Yes, but: The study is observational, used retrospective records and relied on self-reported menopause timing, and the hormone therapy link needs confirmation, the journal's press release noted. The summaries didn't report how large the changes were. The University of Melbourne's Martha Hickey, who wasn't involved, said the word "cliff" is "potentially alarming for women" and implies a decline "which this study does not demonstrate." Talk to your doctor.
Source: ScienceAlert ยท Nature Medicine press release
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WATCH, LISTEN, SCROLL ยท THE BEST OF THE WEEK
Can't Miss Longevity Content
The videos, posts and podcasts everyone's talking about.
PODCAST
Everyday Wellness: Ep. 661, Choosing Between NMN, Urolithin A, and CoQ10
New Oct. 29, Cynthia Thurlow reviews the research on three popular longevity supplements and how they differ.
PODCAST
The Dr. Gabrielle Lyon Show: Dr. Mike Ormsbee on Eating Before Bed
New Oct. 27, researcher Mike Ormsbee on protein timing, casein vs. whey, sleep and resistance training in postmenopausal women.
PODCAST
The Dr. Hyman Show: Why Midlife Could Be Your Most Powerful Chapter Yet | Mel Robbins
New Oct. 28, Mark Hyman and Mel Robbins on why change feels hard in midlife and how habits and surroundings shape follow-through.
PODCAST
The Proof with Simon Hill: Most 'Probiotic' Foods Aren't Actually Probiotic | Dr. Maria Marco
New Oct. 29, UC Davis food microbiologist Maria Marco on what gut health means and whether probiotic foods and gut tests hold up.
Quick Hits
Lifting after 60. In a 12-week randomized trial of 60 adults aged 60 to 75 in Brazil, 41 of them women, supervised resistance training improved breathing-muscle strength, grip strength and sit-to-stand performance vs. a no-exercise group and lowered the inflammation marker IL-6, per the Journal of Functional Morphology and Kinesiology. JFMK
Sauna and immune cells. In 51 adults averaging 50 years old, one 30-minute sauna session with a cold shower midway briefly raised every type of white blood cell measured, with neutrophils and lymphocytes back to baseline within 30 minutes; the University of Eastern Finland researchers said it doesn't show a lasting immune benefit. ScienceDaily
Daylight and dementia. Among 87,577 adults who wore wrist sensors and were followed a median of 8.1 years, average daytime light above 1,000 lux was tied to a 16% lower dementia risk, per General Psychiatry; the study shows an association only. ScienceDaily
Naps and dementia. In 995 Medicare beneficiaries 65 and older followed up to 10 years, napping most days or every day was tied to a 48% higher dementia risk; experts quoted said that doesn't mean napping causes dementia. Medical News Today
See you tomorrow morning.
LongevityMorning is for informational purposes only and isn't medical advice.
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