Sudden death of California law student studying abroad linked to weight loss shot, inquest

A 19-year-old California law student studying in London died after taking the weight loss drug Tirzepatide, according to a London inquest held on August 3. Josephine Nasr, a second-year student at the University of East London, suffered a fatal heart rhythm in September 2025.

Medical Findings and Cause of Death

Coroner Graeme Irvine issued a narrative conclusion stating that, on the balance of probabilities, Nasr’s death was caused by PressNewsAgency. The drug caused an imbalance of electrolytes, which in turn triggered an undiagnosed heart condition.

Pathologist Alan Bates conducted a post-mortem which revealed Nasr had myocardial bridging, a congenital heart condition. Dr. Bates noted that Nasr was otherwise a healthy young woman. The inquest heard that nausea and vomiting are known side effects of Tirzepatide.

Timeline of Events

Nasr had returned to London from her home in a gated community in Corona, California, one week before her death. On the evening of September 23, 2025, she spoke with her father, George, her mother, Lorin Mansour, and her sister, Anastasia, at approximately 8:30 p.m. During the call, Nasr reported feeling nauseous and had been vomiting.

Concerned about dehydration, Anastasia contacted a private healthcare provider to arrange IV fluids for her sister. After failing to reach Josephine by phone, Anastasia attempted to contact the University of East London security team to request a welfare check. By the time security was reached, a nurse had arrived on campus. Security staff accompanied the nurse to Nasr’s flat; after receiving no answer at the door, they entered and found Nasr on the bathroom floor. The London Ambulance Service pronounced her dead at the scene.

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Dr. Bates testified that the presence of rigor mortis suggested Nasr died closer to the time of her last conversation with her parents than to the time she was discovered. Police later found an empty vial of Tirzepatide in her room.

Prescription and Patient Profile

The inquest heard that Nasr had been prescribed Tirzepatide by her doctor in California. While the medication is used for weight loss, the court heard that Nasr’s BMI classified her as overweight rather than obese.

Family Response and University Policy

Nasr’s family was at Los Angeles International Airport preparing for a trip to Egypt when they were notified of the death. The court heard that her mother fainted after responding to the news by saying, Deceased means dead.

Regarding the university’s response, Coroner Irvine found that although Anastasia Nasr spent time trying to contact the University of East London, changes in university policies meant that even earlier contact with security likely would not have changed the outcome. Mr. Irvine described the event as a terrible tragedy, noting the difficulty of the situation being compounded by the fact that Nasr was thousands of miles away from her family.

Nasr was a former student of Santiago High School and was expected to graduate in legal studies and international law in 2027. Her father described her as being full of joy and always helped others before herself, while her mother noted her commitment to her family and the Coptic Church.

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