In the STEP-1 study published by The New England Journal of Medicine , people who combined a 2.4 mg dose of semaglutide with healthy lifestyle habits lost, on average, about 15% of their body weight
This triple mechanism does not treat a disease endpoint it reprograms the metabolic environment in which obesity, type 2 diabetes, MASH, cardiovascular disease, and multiple chronic conditions emerge and progress
Gallbladder problems including sudden pain in the upper right abdomen, yellowing of skin or eyes, or dark urine also require urgent evaluation, as rapid weight loss can increase gallstone formation risk
Neither class is recommended during pregnancy or breastfeeding, and effective contraception should be advised for women of childbearing potential
However, the dietary changes and altered digestive transit associated with these medications may indirectly affect stool appearance
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