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In fact for some people, the lower dose is still going to be highly effective in terms of 0.25mg and there may not be a need to increase the dose even though the clinical trials suggested that was what needed to happen.We do not know what the actual effect of 0.25mg is

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The goal of taking these medications is to support your weight loss efforts, not eliminate them

The SELECT trial, published in the New England Journal of Medicine in 2023, demonstrated that semaglutide significantly reduced major adverse cardiovascular events in patients with established cardiovascular disease and overweight or obesity, representing a landmark finding for GLP-1 receptor agonists in cardiovascular risk reduction