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Lastly, upon streptozotocin-induced destruction of the -cells, there is an acute increase in islet PCSK1 and Gcg expression and increased processing of proglucagon to GLP-1 [158]

A 2025 study found that tripling semaglutides dose to 7.2 mg led to roughly 19% weight loss over 72 weeks, compared to 16% at the standard dose, a meaningful gain, though with higher rates of side effects