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There's also a possibility that the medications affect taste and smell

Reduced caloric intake due to appetite suppression may lead to insufficient energy consumption, particularly during the initial treatment phase

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Diabetologia 54(11):27452754 Malavazos AE, Meregalli C, Sorrentino F, Vignati A, Dubini C, Scravaglieri V, Basilico S, Boniardi F, Spagnolo P, Malagoli P, Romanelli P, Secchi F, Iacobellis G (2023) Semaglutide therapy decreases epicardial fat inflammation and improves psoriasis severity in patients affected by abdominal obesity and type-2 diabetes