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It works by boosting insulin release in response to high blood sugar levels following a meal and lowering sugar production by the liver

Moiz A, Filion KB, Tsoukas MA, Yu OH, Peters TM, Eisenberg MJ (2025) Mechanisms of GLP-1 Receptor Agonist-Induced Weight Loss: A Review of Central and Peripheral Pathways in Appetite and Energy Regulation

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Novos injectable pipeline keeps it in the game but does not yet re-establish clear leadership versus Lilly, and on a pipeline basis vs Roche, AstraZeneca and others