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Most patients begin to notice weight loss within the first 14 weeks of starting semaglutide, especially once lifestyle changes like improved diet are incorporated
Waist circumference reductions during this period are often dramatic, with visceral fat, the metabolically dangerous fat stored around internal organs, being preferentially mobilized
Whilst there appears to be no specific oxyntomodulin receptor, endogenous oxyntomodulin causes appetite suppression, increased energy expenditure, and weight loss in people with obesity via activation of GLP-1 and GCG receptors
Lancet 2016
Positive Inotropic and Chronotropic Effects GLP-1 exerts positive inotropic and chronotropic effects on the heart