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For context, NICE guidance on existing approved GLP-1 receptor agonists for example, NICE TA875 (Semaglutide for managing overweight and obesity, 2023) acknowledges GI side effects as a recognised class effect and supports gradual dose escalation to improve tolerability

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Clinical trials show that hunger reduction typically happens gradually, with more noticeable effects at higher doses

Additionally, in vitro experiments showed that exosomal SELENOP potentially crossed the BBB and supplemented Se to neuronal cells (mouse neuroblastoma N2a cells), inducing the production of intracellular selenoproteins