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As a long-acting agent, semaglutide reduces energy intake by decreasing appetite and increasing satiety by direct activation of the hypothalamus and hindbrain and indirect activation via the vagus nerve
80 While the clinical significance of this heart rate increase remains uncertain, it raises theoretical concerns in patients with ischemic heart disease or arrhythmias and may counteract some of the antihypertensive benefit of GLP-1 RAs

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Preclinical studies have confirmed that GLP-1RAs can significantly reduce body fat accumulation and improve insulin sensitivity, which provides a new potential strategy for the treatment of sarcopenia [12]

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