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Outcomes and objectives The primary objective was to compare the efficacy of 68 weeks of subcutaneous semaglutide 2.4 mg weekly versus placebo administration, as an adjunct to diet and exercise, on %WL in participants with less than 20% weight loss after primary GB or SG at the end of 68 weeks of treatment

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(Endocrinology, 2010), demonstrated a strong species-dependent effect: In rodents: High GLP-1 receptor expression in thyroid C-cells Strong cAMP signaling activation Persistent stimulation leads to tumor formation In humans and primates: Minimal or absent functional GLP-1 receptor expression in C-cells No meaningful calcitonin elevation under therapeutic exposure No observed C-cell proliferation in long-term studies Even exposure levels far exceeding clinical doses failed to reproduce rodent-like thyroid effects in primate models

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