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Description
Semaglutide is a GLP-1 receptor agonist that mimics the hormone glucagon-like peptide-1

Studies show it decreases total 24-hour energy expenditure by 9% and reduces spontaneous physical activity energy expenditure by 30%

Although oral Semaglutide offers a non-injectable dosing option, it faces a number of challenges, notably bioavailability, metabolic stability, and gastrointestinal side effects (Ke et al., 2024) (Table 2)

Starting low dose and going slow really helps with that
Accelerating progress in obesity prevention: solving the weight of the nation

Use of GLP-1RA is protective and prevents bone fractures over a longer period of use in T2DM patients in a recent trial in 2020 liraglutide showed to have decreased bone resorption compared to placebo ( 8 Challenges in clinical application Considering the enumerated benefits of GLP-1RA compared to other glucose-lowering drugs including the reduction in HbA1c and weight reduction benefits alongside decreased risk for hypoglycaemia ( 9 Limitations of this review This review does not cover the more expanded literature about the individual GLP-1RA drug administration, efficacy and side effects
