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These claims are made by marketing, not science

[18] [19] Whilst these benefits likely result from multiple mechanismsincluding weight loss, blood pressure reduction, and anti-inflammatory effectsimprovements in lipid profiles may contribute to the overall cardiovascular protection observed

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Science 306 , 19301933 (2004)

And in 2025, Wegovy also received FDA accelerated approval for the treatment of noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH) with moderate to advanced liver fibrosis, underscoring that these medications can impact disease processes well beyond body weight alone