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Real-world reports show wide variability: some observational analyses note that about 5% experience sleep disturbances, while a 2025 Care Pharmacy summary found that roughly 30% of patients on Wegovy reported insomnia

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Additionally, the phosphorylation of Akt has been associated with the activation of neuronal differentiation markers like microtubule-associated protein-2 (MAP2) growth-associated protein-43 (GAP-43) and the ATP/GTP binding protein-like 4 (AGBL4) [4548]

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These two quality failures are completely independent of each other

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