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PMID: 36739174 18 Subacute Combined Degeneration in a Young Female Patient After Sleeve Gastrectomy

Think of semaglutide as pressing one appetite-suppression button

Weight loss peptides (GLP-1 RAs) Originally developed as diabetes treatments, glucagon-like peptide 1 receptor agonists (GLP-1 RAs) exhibit mechanisms of action on metabolism and the pancreas that promote weight loss by:26 Slowing digestion: A longer time to gastric emptying correlates not only with a decreased appetite but also with a milder glucose spike.27 28 A decreased appetite means less desire to consume excess calories, and a less severe spike indicates tighter regulation over a significant weight-gain factor.29 Increasing feelings of fullness: When you do get hungry, a GLP-1 RA can help you reach satiety sooner than you normally would

Neither protocol is a rapid transformation