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The effects of semaglutide are to increase insulin release, reduce glucagon release, delay gastric emptying, and reduce appetite

The site also mentions third-party testing for potency and sterility

What Happens When You Stop Taking GLP-1 Treatments When GLP-1 receptor agonist therapy is discontinued, patients typically experience a reversal of the therapeutic effects that the medication provided

2021, NEJM) showed A1C reductions of 2.0 to 2.3 percentage points at the highest dose, the strongest A1C lowering of any approved diabetes drug

doi: 10.1136/bmj.n71

Moreover, stimulation of LS GLP-1R neurons reduced food intake, both in an acute and chronic manner, while inhibition increased food intake [108,109]