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History of acute pancreatitis Baseline characteristics Age - 55.85 yr Female sex - 57.1% Average body weight - 210 lbs (96 kg) Average BMI - 34.65 Type 2 diabetes - 55.9% Average ALT - 67.85 U/liter Average AST - 53.0 U/liter Fibrosis stage 2 - 31.3% Fibrosis stage 3 - 68.8% Randomized treatment groups Group 1 (534 patients): Semaglutide with a target dose of 2.4 mg once weekly Group 2 (266 patients): Placebo The starting dose of semaglutide was 0.25 mg once weekly, which was increased every 4 weeks to once-weekly doses of 0.5 mg, 1.0 mg, 1.7 mg, and 2.4 mg until the target dose of 2.4 mg was reached after the 16-week dose-escalation period

Emerging preclinical and pharmacogenomic evidence suggests that semaglutide suppresses dopamine release in the nucleus accumbens and blunts ventral tegmental area responses to rewarda mechanism that maps directly onto the anhedonia and amotivation dominating this patients presentation

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