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Clinical studies such as the GetGoal trial program demonstrated that while it improved glycemic control, its effect on body weight was small (typically 23 kg reduction) and not sufficient to warrant an obesity indication

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[DOI] [PubMed] [Google Scholar] 24.Eli Lilly and Company Zepbound

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[1] [2] They work by mimicking a naturally occurring hormone that regulates blood glucose levels, slows gastric emptying, and reduces appetite

(Even prior to this use, doctors could prescribe the diabetes versions drug off label for weight loss.) I wrote about this more here