Early detection of abnormal levels allows for timely intervention, including dietary changes or supplements
Neuroactive peptides work through mechanisms such as brain-derived neurotrophic factor (BDNF) upregulation, HGF/c-Met signaling, and modulation of monoamine neurotransmitters (Table 4)
Clinical trials demonstrate that discontinuation of semaglutide typically results in gradual weight regain, with patients recovering approximately two-thirds of lost weight within one year of stopping treatment, according to STEP trial extension data
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Long-Term Outcomes: While existing trials show robust weight loss over ~64 weeks, real-world effectiveness and durability of oral semaglutide for weight management will require ongoing observation
Additional information Peer review information Nature Metabolism thanks Dominique Langin and the other, anonymous reviewers for their contribution to the peer review of this work