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In contrast to findings with behavioral 20,21,22 and other pharmacological interventions 10,12,13 , the similar mean weight loss achieved with semaglutide 2.4 mg in STEP 5 at weeks 52 and 104 (15.6% and 15.2%, respectively) suggests that, on average, there is minimal weight regain over 104 weeks when once-weekly semaglutide therapy is continued

Because the peptide works specifically on fat tissue without affecting other systems, protocols can be designed purely around fat metabolism optimization without concerns about managing glucose, IGF-1, or growth-related effects
