Jinendiran, S., Dahms, H.-U., Kumar, B
The Eggers and Beggs tests showed no significant small-study effect ( P = 0444 and P = 0721, respectively)
While the trial was not designed to formally disentangle weight lossmediated vs weightindependent mechanisms, the magnitude and durability of weight loss likely play a substantial role in risk modification. Clinicians should note that in SELECT, treatment discontinuation due to adverse events was 16% on semaglutide vs 8% on placebo, largely driven by GI events
The fetal liver exhibited higher mitochondrial activity and increased mitochondrial DNA copy numbersboth indicative of enhanced energy metabolismwithout major shifts in gene expression, suggesting that regulation may occur at the protein level (Safain et al., 2025)
Circulatory problems caused by diabetes
This period is critical for building tolerance and setting the stage for long-term success