Although that study did not explicitly hypothesize to test semaglutide-associated reductions in central adiposity would improve MASLD, its findings support a biologically consistent pathway: reductions in visceral adipose tissue are strongly linked to improvements in hepatic steatosis, systemic inflammation, and metabolic dysfunction in PWH
Armed with these findings, in March 1962 Marks proposed to a conference held in London at the Royal College of Physicians, that glucagon activated the secretion of insulin in B-cells of the pancreas
Similarly, if your plateau started immediately after a dose reduction due to side effects, the plateau is dose-related, not receptor-related
Patients should feel comfortable discussing any changes they notice after starting semaglutide, including night sweats
doi:10.1016/j.mce.2008.08.012 16
Follow-up Re-check IGF-1 and metabolic markers after 6-8 weeks or after meaningful dose changes