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By 12 months, they had lost an average of 17.4% of their body weight
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79 Chronic hyperglycemia activates mTORC1 and reduces mTORC2 activity 157 in islet cells, which leads to the translocation of FOXO1 to nucleus and less nuclear PDX1, resulting in reduced insulin synthesis and secretion and impaired cell mass 80,158 (Fig
Because of its significant negative impact on almost all body systems, obesity increases the risks of several other chronic diseases, including diabetes, heart disease, kidney disease, and cancer
Overall, tolerability appears consistent with other incretin-based therapies, though the triple agonist mechanism introduces a broader physiological effect profile