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The PIONEER REAL initiative was launched to assess real-world clinical outcomes of oral SMG

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Notably, semaglutide's effects on appetite and portion control tend to stabilize and strengthen over the first 3 months rather than diminishing, which supports sustained long-term adherence

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Weight loss is a journey, not a destination

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Inflammation is also known to be a key factor in the development of AS: the aggregation of white blood cells, mainly macrophages, is a significant feature of AS from its initial to its late stage (116)

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Yet, the same cautions apply

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Make protein non-negotiable

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