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Semaglutide’s GLP-1R engagement activates the canonical Gs-cAMP-PKA-EPAC2 signalling cascade , producing glucose-dependent insulin secretory potentiation in beta cells, central appetite suppression through hypothalamic and brainstem GLP-1R-mediated anorexigenic neurocircuit activation, glucagon suppression in alpha cells, gastric emptying inhibition through vagal GLP-1R pathways, and cardioprotective biology through direct cardiac GLP-1R signalling

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