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In February 2021, the researchers published the findings from their trial in The New England Journal of Medicine, showing that patients using semaglutide lost almost 15% of their body weight, on average, compared with 2.4% among patients who got the placebo

Thats because it can take a long time to build up to a high enough dose where patients lose weight

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Koeth R, Culley M, Wang Z, Nemet I, Kirsop J, Org E, et al