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(2024) 11:e2306571
RYBELSUS (Semaglutide) Prescribing Information (US Food and Drug Administration, 2020)
20 Its target, thyroid hormone receptor beta, is predominantly expressed in the liver: apparently, even people with normal thyroid hormone levels systemically can have intrahepatic hypothyroidism, leading to hepatic steatosis and inflammation, which this drug can counteract
A 2026 International Journal of Molecular Sciences review confirmed plausible mechanisms: angiogenesis support, collagen synthesis, nitric oxide modulation all observed in animal models, not controlled human studies