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More research is needed to understand the mechanisms through which semaglutide produces these early clinical benefits, but they may include the drugs positive effects on reducing inflammation, blood sugar, blood pressure, direct effects on the heart and blood vessels, early dietary changes, or an interaction among these or other responses. Despite these important findings, the authors note that SELECT is not a trial looking to prevent first cardiovascular eventsall SELECT patients had a history of heart disease, placing them at high risk

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