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Table of Contents Understanding Weight Gain During Perimenopause Perimenopause represents the transitional phase leading up to menopause, typically beginning in a woman's 40s but occasionally starting in the mid-30s
In adults with overweight or obesity (without diabetes) the semaglutide 2.4 mg dose produced an average weight reduction of about 15% of baseline body weight over ~68 weeks in the STEP 1 trial, a result that surprised many clinicians because it brought pharmacologic outcomes into a range previously associated with surgical interventions
The researchers found that while semaglutide did not alter insulin sensitivity, as measured by pAkt:Akt ratio, it did significantly increase the expression of genes associated with mitochondrial biogenesis and function, including PGC-1, and TFAM
Across the three treatment groups (dulaglutide 1.5 mg, dulaglutide 0.75 mg, and placebo), there were no cases of diabetic ketoacidosis or amputations, and hypotensive episodes/syncope occurred in 0%, 1% and 1%, genital infections in 0%, 0% and 1%, fractures in 1%, 1% and 1%, and gastrointestinal events in 32%, 21% and 17% of patients, respectively [31]
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