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[26,27] Semaglutide, however, seems to more reliably increase insulin secretion, even in a fasted state while the dieters are eating less

Across all these drugs, the common mechanism of action are glucose lowering via -cell GLP-1R, slowed gastric emptying (gut) and appetite suppression via central effects (McLean et al., 2021)

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Thats because when you stop taking it, you will likely regain some, or all, of the weight you lost