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Statistical Analysis Statistical analysis was performed by parametric one-way analysis of variance (ANOVA), with post-hoc NewmanKeuls test and non-parametric KruskalWallis test and subsequently the MannWhitney U test to compare groups

December 13, 2022

Patients should be advised to: Start with the lowest dose and increase slowly Eat smaller, more frequent meals Avoid high-fat foods Stay well-hydrated Safety monitoring should include vigilance for: Pancreatitis symptoms (severe persistent abdominal pain) discontinue immediately if suspected Gallbladder disease increased risk with rapid weight loss Hypoglycaemia particularly when combined with insulin or sulphonylureas Renal function deterioration especially with dehydration from gastrointestinal effects Diabetic retinopathy monitor in patients with pre-existing retinopathy, particularly with semaglutide Suspected adverse reactions should be reported via the MHRA Yellow Card scheme

In contrast, metabolites such as 4-Aminobutanoate, 4-aminobutyraldehyde, 3-hydroxyanthranilate and porphobilinogen were elevated in the plasma of LC patients compared to the R group ( Figure 4C , Supplementary Figure 3B )