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Semaglutide is not metabolized by the liver's cytochrome P450 enzyme system

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[6] Preclinical studies in animal models suggest that GLP-1 receptor activation may: Promote neuroplasticity and neurogenesis (formation of new neurons) in the hippocampus, a region often showing reduced volume in depression Modulate neurotransmitter systems , particularly dopamine and serotonin pathways involved in mood regulation and reward processing Reduce neuroinflammation , which is increasingly recognised as contributing to depressive disorders Enhance brain-derived neurotrophic factor (BDNF) expression, a protein crucial for neuronal health and resilience Metabolic improvements associated with GLP-1 therapy may also contribute indirectly to mood benefits

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However, dissecting the weight loss-dependent and independent mechanisms of bariatric surgery in humans is highly challenging as long-term control of food intake is not possible

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Khan has several years of expertise in treating patients with diabetes and obesity

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In contrast, the glucagon component provides its thermogenic and lipolytic benefits without clinically significant hyperglycemia

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Dhatariya K, Bain SC, Buse JB, Simpson R, Tarnow L, Kaltoft MS, Stellfeld M, Tornoe K, Pratley RE

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