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A subgroup analysis indicated that the glycemic benefits were dose-dependent, with lower doses (8 mg) demonstrating a greater HbA1c reduction (-1.39%) than higher doses (12 mg, -0.65%)

10.1001/jama.2021.1831 [DOI] [PMC free article] [PubMed] [Google Scholar] 44

Rapid or substantial weight reduction can affect bone density through multiple mechanisms, as bone tissue responds to mechanical loading and metabolic changes

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This results in elevated intracellular NAD+ levels, optimized mitochondrial function, and enhanced energy metabolism without affecting appetite or caloric intake
