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Endometriosis itself doesnt usually change how the pill is absorbed

Semaglutide activates GLP-1 receptors in your brain and gut, reducing hunger and slowing digestioneffects that can produce measurable weight loss within the first month of treatment
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In fact, GIP may be an even more potent insulin secretagogue than GLP-1 under certain conditions

It is a key part of the regulatory mechanism for appetite and energy stores, acting via central and peripheral actions