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GI side effects like nausea and diarrhea were most common, but these were manageable and resolved over time, researchers said.No increase in serious adverse events or severe low blood sugar was seen with the higher dose.The greater magnitudes of bodyweight reduction seen in this trial, as well as the improvements in cardiovascular risk factors and glucose control, can have beneficial effects on health goals in clinical practice, researchers concluded.However, they noted that further research is needed to fully understand the long-term benefits and risks of a tripled semaglutide dose taken regularly.Novo Nordisk, the maker of semaglutide, sponsored both clinical trials.More informationThe University of California-Davis has more on semaglutide for weight loss.SOURCES: The Lancet, news release, Sept

Assuming that the percentage of patients showing an increase in serum vitamin B12 concentration to above 179 pg/ml in both groups is 70%, means the study requires at least 304 patients (152 in each arm) for a threshold of non-inferiority of 10% and a statistical power of 60% with significance set at p 179 pg/ml: patient preference questionnaire Randomisation of patients to treatment group Visit 1 (start of treatment) Anamnesis: record whether the patient lives alone or with others, lifestyle habits, use of alcohol, whether a vegan diet is followed, whether the patient has undergone gastrectomy Symptoms: record paresthesia, asthenia, loss or reduction of appetite, sadness or change in state of mind, concomitant pharmacological treatment Physical examination: for Hunters glositis, positional and vibrational sensitivity Questionnaires: Lobo cognitive mini-exam, EuroQoL-5D Record concomitant treatment Request analyses to be performed one week before next visit: haemogram and serum vitamin B12 Therapeutic plan: patient in oral arm provision of medication

Understanding these mechanisms helps explain why the peptide shows such broad therapeutic potential