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This mechanism is central to how semaglutide supports weight loss, but it also explains why dosing must be approached carefully

Ozempic showed 26% reduction in major cardiovascular events (SUSTAIN-6) vs Trulicity's 12% (REWIND)

Therefore, a decrease in Lactobacillus royi may also contribute to IBD development (Thomas et al., 2012)

By reducing peripheral inflammatory signals, improving vascular health, and restoring metabolic homeostasis, semaglutide may alleviate the major drivers of neurodegeneration, suggesting that its neuroprotective benefits may not depend solely on high concentrations within the brain parenchyma
