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Lastly, the systemic effects of GLP-1RAs, such as body weight loss [103] and potential reduction in muscle mass [104], pose significant challenges for elderly individuals with neurodegenerative diseases
For example: In a study of Ozempic, people taking 1 mg of semaglutide (a typical dose) reported less hunger, more control over their eating, and fewer food cravings, especially for high-fat foods, at the three-month mark

Laminar flow induction of antioxidant response element-mediated genes in endothelial cells
95 ( n = 224) included a cohort with more severe disease with 17% of patients affected by perianal involvement and 24% classified as having penetrating or fistulizing disease

The combination of phentermine with semaglutide raises separate timing questions, as phentermine is a stimulant best taken in the morning to avoid insomnia
