Personally I still like a drink and haven't noticed a substantial change. I see many report on GLP-1s saying they drink less, don’t enjoy alcohol as much, can't drink it, or just don’t think about it in the same way. I think evidence this year is getting stronger that there is an impact for quite a number:
In 2022, 127 people with alcohol use disorder were randomised to exenatide or placebo for 26 weeks. It didn’t reduce heavy drinking days compared with placebo, which was the main endpoint. Only 58 people completed the full trial.
A JAMA Psychiatry study published in February 2025 randomised 48 people to semaglutide or placebo. Semaglutide reduced alcohol consumed in a laboratory test, as well as craving and some measures of drinking outside the lab. It was small though, and only 25 people were included in the main post-treatment laboratory analysis.
SEMALCO was published in The Lancet in May 2026. It included 108 people with obesity and moderate or severe alcohol use disorder. They received semaglutide 2.4 mg or placebo for 26 weeks, with CBT in both groups.
Heavy drinking days fell by 41.1 percentage points with semaglutide and 26.4 points with placebo. The difference between the groups was 13.7 points, p=0.0015.
It was randomised and double-blind, but still only 108 people, at one centre, and everyone in the trial had obesity.
Another trial published on 29 July used oral semaglutide in 50 people.
It didn’t significantly improve the main craving measure. Drinks per day also narrowly missed statistical significance at p=0.057. Heavy drinking days did improve, p=0.008, as did drinks per drinking day. 47 of the 50 people completed the trial.
Pemvidutide reported results in July as well. It activates GLP-1 and glucagon receptors, so it overlaps with two of Reta’s three targets.
100 people with alcohol use disorder were treated for 24 weeks. Compared with placebo, heavy drinking fell by another 1.45 days per week. 64.4% improved by at least two WHO drinking-risk levels compared with 34.8% on placebo. 42.2% had no heavy drinking days in the final four weeks compared with 17.4%.
PEth, a blood marker of recent alcohol consumption, also fell.
Those pemvidutide results are still company topline results rather than a full peer-reviewed paper.
A Swedish observational study of 227,866 people with alcohol use disorder also found semaglutide use was associated with about a 36% lower risk of hospitalisation for alcohol-related problems. It wasn’t randomised, so it can’t show that semaglutide caused the difference.
No studies directly on reta as far as I aware (yet). Did Reta make any material difference for you?