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In the presence of uncouplers (small molecules or proteins), protons return to the mitochondrial matrix bypassing ATP synthase

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Semaglutide helps both groups, just at different scales

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Centrally, semaglutide engages brainstem vomiting centres: it can access circumventricular regions like the area postrema and activate GLP-1 receptors in the dorsal vagal complex (area postrema and nucleus tractus solitarius), directly stimulating nausea and emesis pathways [60,61,62]

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