By Dr. Michael Barber, Medical Director and Cardiologist at Strata Med – January 21, 2025
In recent years, GLP-1 receptor agonists (RA’s) and SGLT-2 inhibitors – two classes of medications originally developed to treat type 2 diabetes – have emerged as major breakthroughs in cardiovascular care and weight management. What started as diabetes treatments has evolved into something much more, offering significant benefits for heart health and weight loss, even for those without diabetes.
These medications are getting so much attention that the Journal of the American College of Cardiology (JACC) recently launched a special initiative focused on obesity and heart disease. The editorial, titled “The Obesity Revolution Comes to Cardiology,” highlights the growing importance of these treatments in addressing both obesity and cardiovascular issues.
Why Obesity Matters for Heart Health
Obesity, whether it’s linked to type 2 diabetes, is a major contributor to heart disease. It can lead to problems like heart failure (even in people with healthy heart function), arrhythmias, chronic kidney disease, and coronary artery disease. As obesity rates continue to rise, these related health issues are becoming more common, making effective treatments even more critical.
What Are GLP-1 and SGLT-2 Medications?
There are two main types of medications that have shown impressive benefits for weight loss and heart health:
GLP-1 Receptor Agonists
Ozempic, Wegovy, Mounjaro, and Zepbound
These drugs help promote weight loss and improve blood sugar control.
SGLT-2 Inhibitors
Jardiance, Farxiga, Steglatro, and Invokana
These medications are particularly helpful for people with heart failure or chronic kidney disease.
Clinical studies have shown that both types of medications can reduce the risk of major heart problems and complications. They lower the chances of heart attacks, strokes, and even death. Additionally, these drugs help prevent the progression of kidney disease and reduce hospitalizations for heart failure.
Not Just for Diabetes
While these medications were initially studied in people with type 2 diabetes, research is now showing that they can benefit many other people as well. GLP-1 RA’s, for example, help reduce the risk of serious heart problems (like heart attacks and strokes), while SGLT-2 inhibitors are linked to lower rates of heart failure and kidney disease progression—even in people without diabetes.
The Obesity Epidemic and Its Costs
For decades, the standard approach to managing obesity has been “diet and exercise.” However, recent data show that this traditional approach hasn’t been enough to tackle the growing obesity crisis. In the U.S., over 129 million adults are considered obese, and an additional 7.6 million have type 2 diabetes without obesity. In total, about 137 million adults—more than half of the U.S. population—could benefit from medications like GLP-1 and SGLT-2.
These medications have the potential to significantly reduce the healthcare costs related to obesity and heart disease, which are among the most expensive health issues in the country. However, their high price is a major barrier for many people. The question remains: will the long-term health savings outweigh the upfront costs?
How We Can Help at Strata
At Strata, we offer a comprehensive, personalized weight management program. Our approach includes detailed lab assessments, customized nutrition and fitness plans, and, when appropriate, the use of GLP-1 medications to help you achieve your health goals. Whether you’re managing your weight or working to improve your heart health, we are here to guide you every step of the way.
To learn more about how these medications might benefit you or to schedule a consultation, please reach out to us at wellness@stratawell.com or call 719-748-6949 to arrange a consultation.
We welcome you to read more about our weight management services. Have questions? Reach out to us today.
About the Author

Michael J. Barber
Medical Director and Cardiologist at Strata Med
Specialties include concierge cardiology, mnternal medicine, executive wellness, men’s health, and cardiovascular disease.


