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The cardiac benefits of GLP-1 agonists were not anticipated before outcome studies were performed for several reasons: (1) Historical Precedent-past experiences with other diabetes medications that unexpectedly had adverse cardiovascular effects made it less likely for researchers and clinicians to anticipate potential cardiovascular benefits without concrete evidence from large-scale trials
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By interacting with GLP-1 receptors in the brain, semaglutide GLP-1 helps to curb appetite and promote a sense of fullness, making it easier for individuals to adhere to a reduced-calorie diet