Growing evidence from observational studies indicates that treatment of obesity with bariatric surgery improves cardiovascular outcomes, but these findings have not been confirmed in randomized trials, largely because of randomization challenges with bariatric surgery

Abbreviations ACC: acetyl-CoA carboxylase Akt: protein kinase B AMI: acute myocardial infarction AMPK: AMP-activated protein kinase apoE / : Apolipoprotein E knockout ARE: antioxidant response elements Arl-2: ADP-ribosylation factor-like 2 BAD: BCL2 associated agonist of cell death BMP7: bone morphogenetic protein 7 BP: blood pressure CHD: coronary artery disease CVDs: cardiovascular diseases DM: diabetes mellitus eNOS: endothelial nitric oxide synthase ERK1/2: extracellular signal-regulated kinase 1/2 EVs: extracellular vesicles FGF21: fibroblast growth factor 21 FGFR1: fibroblast growth factor receptor 1 FXII: factor XII upd3: unpaired 3 GPR19: G protein-coupled receptor 19 HF: heart failure HMGB1: high mobility group box 1 ICAM-1: intercellular adhesion molecule 1 I/R: ischemia/reperfusion ISR: in-stent restenosis JAK2: Janus kinase 2 KLF4: KLF transcription factor 4 LAMP1: lysosomal associated membrane protein 1 LDL: low-density lipoprotein Ldlr: low-density lipoprotein receptor Ldlr / : low-density lipoprotein receptor knockout LDSFs: liver-derived secretory factors LKB1: liver kinase B1 MAPK: mitogen-activated protein kinases MI: myocardial infarction MMP-2: matrix metallopeptidase 2 NAFLD: non-alcoholic fatty liver disease NF-B: nuclear factor-kappaB NLRP3: NLR family pyrin domain containing 3 Nrf2: transcription factor NF-E2-related 2 PAI-1: plasminogen activator inhibitor-1 PDK4: pyruvate dehydrogenase kinase 4 PERK: protein kinase R-like endoplasmic reticulum kinase PI3K: phosphoinositide 3-kinase RISK: reperfusion injury salvage kinase PON1: paraoxonase 1 ROS: reactive oxygen species SDHB: succinate dehydrogenase complex subunit B SIRT1: sirtuin 1 SMAD2: SMAD family member 2 STAT3: signal transducer and activator of transcription 3 TGF-RI: transforming growth factor-beta receptor type 1 TMAO: trimethylamine N-oxide TNF-: tumor necrosis factor-alpha VECs: vascular endothelial cells VEGFR2: vascular endothelial growth factor receptor-2 VSMCs: vascular smooth muscle cells Declarations Funding This work was supported by the National Natural Science Foundation of China (No

Digestive discomfort: Some people may experience bloating, gas, or mild constipation as their digestive system adapts to the slower gastric emptying caused by Ozempic
The seven-day half-life of the drug is specifically designed to provide a weeks worth of metabolic support
Caspase-3 activity was markedly elevated, indicating enhanced apoptosis
This has really helped me stay more regular with my bowels and has really reduced my bloating