why am i losing weight so slowly on semaglutide

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The American Diabetes Association recommends an HbA1c target of less than 7% for most nonpregnant adults, while the American College of Physicians suggests targets of 7-8% for many adults, particularly those with limited life expectancy or multiple comorbidities

10.1016/j.jaci.2013.04.035 J

It extends its effect by maintaining GH secretion over longer periods, including preserving the natural episodic or pulsatile pattern of GH release rather than creating flat, constant levels