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Important safety considerations: Thyroid C-cell tumors: Rare cases of thyroid tumors have occurred in animal studies

While GLP-1 receptor agonists are not specifically indicated for treating leptin resistance, they produce weight loss benefits via mechanisms that appear to work independently of leptin signalling pathways

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Semaglutide selectively activates the GLP-1 receptor, producing: Glucose-dependent insulin secretion : Reduces hypoglycemia risk compared to non-incretin agents Glucagon suppression : Reduces hepatic glucose output in the hyperglycemic state Gastric emptying delay : Contributes to postprandial glucose control and satiety Central appetite regulation : Acts on GLP-1 receptors in the hypothalamus and brainstem to reduce hunger and alter food preferences The simplicity of semaglutide's single-receptor mechanism is both a limitation (no energy expenditure enhancement from glucagon) and a strength (thoroughly understood pharmacology, predictable effects, extensive safety characterization)