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There does not seem to be a direct action at the pituitary level

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semaglutide from their respective phase III clinical trial programs in T2D revealed that, although there is a greater variability in semaglutide plasma concentrations following daily oral administration, this does not impact efficacy response

As with any medication that affects metabolic processes and leads to significant weight loss, patients and healthcare professionals have raised questions about potential effects on mental health, particularly depression