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In the STEP trials, semaglutide was administered as part of a comprehensive lifestyle intervention that included a reduced-calorie diet (approximately 500 kcal/day deficit based on baseline energy requirements) and a minimum of 150 min of physical activity per week [38,39,40,41,42,43,44,45,46, 78, 97]
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Those with personal or familial histories of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 should avoid semaglutide, as should patients with a history of pancreatitis