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For weight management (NICE TA875 for semaglutide 2.4mg/Wegovy and TA664 for liraglutide 3mg/Saxenda): Treatment should be discontinued if specific weight loss targets are not met (typically at least 5% of initial body weight at 12-16 weeks)
Injecting repeatedly in the same spot causes lipohypertrophy a hard, painless lump that reduces drug absorption and slows weight loss
Specifically, genes related to lipid storage (CD36 molecule ( Cd36 ), sterol regulatory element binding protein ( Srebp )) and adipocyte differentiation (peroxisome proliferator activated receptor gamma ( Pparg )) are significantly downregulated with reduced CNS GIPR signalling 46
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