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Nature 594 , 594598 (2021)

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The SELECT trial (Semaglutide Effects on Heart Disease and Stroke in Patients With Overweight or Obesity), a phase 3 study involving 17,604 adults with overweight or obesity and pre-existing CVD but no diabetes, revealed that once-weekly subcutaneous semaglutide 2.4 mg reduced the risk of major adverse cardiovascular events by 20% compared with placebo over a mean follow-up of 39.8 months, including cardiovascular death, nonfatal myocardial infarction, and nonfatal stroke [48]

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It built on the success of earlier GLP-1s by engaging a second pathway, the Glucose-dependent Insulinotropic Polypeptide (GIP) receptor , leading to unprecedented weight loss results, often exceeding 20% of body weight

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