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This broad regulatory activity includes upregulation of tissue repair genes, collagen synthesis pathways, antioxidant defense systems, and anti-inflammatory signaling networks, alongside simultaneous downregulation of genes associated with tissue destruction, inflammation, and fibrosis

The most notable evidence proving this comes from a 68-week clinical trial involving 1961 patients and a once-a-week dose of 2.4 mg: The mean change in body weight from baseline to week 68 was 14.9% in the semaglutide group as compared with 2.4% with placebo, for an estimated treatment difference of 12.4 percentage points (95% confidence interval [CI], 13.4 to 11.5

The FDA-approved branded version is Zepbound and Mounjaro

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