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It is a small molecule, specifically a quinolinium-based selective inhibitor of the NNMT enzyme

A 5 mg semaglutide vial reconstituted with 1.5 mL of water gives approximately 3.33 mg/mL

Later work examined NNMT inhibition combined with dietary changes in obese mice, reporting reductions in body weight, fat mass, and hepatic fat, alongside shifts in gut bacterial populations