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There are many obesity-related complications, including type 2 diabetes, heart disease, obstructive sleep apnea, chronic kidney disease, non-alcoholic fatty liver disease, and cancer
Another study worth considering is the 2020 study that found over 140 adverse vision effects from the use of semaglutide, the active ingredient in Ozempic
In some brain regions, GLP-1 receptor activation triggers both effects, but in others, like the hippocampus or the ventral tegmental area, food intake reduction occurs without nausea

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So youll likely need to take Januvia long term