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Leptin signaling is based on the autophosphorylation of the Lep-R, triggering the Janus tyrosine kinase (JAK), the signal transducer and activator of transcription (STAT), PI3K, IRS and AMPK pathways [116]

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While this was one of the few large, real-world studies to examine the effectiveness of semaglutide 2.4 mg treatment on weight and cardiometabolic outcomes at 12 months [19], causality could not be established, and the study did not account for all potential confounders, such as lifestyle or behavioral factors

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