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Data from the PIONEER (Peptide Innovation for Oral Delivery of Semaglutide in Type 2 Diabetes) trials (NCT03018028 and NCT03015220) indicated that oral semaglutide also led to dose-dependent weight loss in both younger and older adult groups, but body composition was not assessed [57]

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Origin: Derived from Epithalamin, a polypeptide extract of the bovine pineal gland

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Important safety considerations include a boxed warning for medullary thyroid carcinoma risk, monitoring for pancreatitis (severe abdominal pain), gallbladder disease, and potential hypoglycemia when used with insulin or sulfonylureas